Vaginal Birth after Cesarean (VBAC) New Haven CT

There are several reasons why a woman should want to attempt a vaginal delivery. First of all, there are more risks involved for the mother with a cesarean section, it is after all, major abdominal surgery. This means that there is more of a chance for blood loss, transfusion, and infection. There will be more days spent in the hospital after delivery, and the overall recovery time at home for the mother is much longer than the recovery from a vaginal delivery. In addition, the hospital costs can be more than twice as expensive.

Antonio Asis, MD
(203) 562-6741
1435 Chapel St
New Haven, CT
Business
Asis Medical Associates
Specialties
Obstetrics & Gynecology

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Brian D Karsif
(203) 924-7756
415 Howe Avenue
Shelton, CT
Specialties
Obstetrics & Gynecology
Insurance
Medicare Accepted: No
Workmens Comp Accepted: No
Accepts Uninsured Patients: No
Emergency Care: No


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Steven Cassel
(203) 377-3457
2499 Main St
Stratford, CT
Specialties
Obstetrics & Gynecology
Insurance
Medicare Accepted: No
Workmens Comp Accepted: No
Accepts Uninsured Patients: No
Emergency Care: No


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Abraham Yaari
(203) 367-2273
754 Clinton Ave
Bridgeport, CT
Specialties
Obstetrics & Gynecology
Insurance
Medicare Accepted: No
Workmens Comp Accepted: No
Accepts Uninsured Patients: No
Emergency Care: No


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Robert Zikaras
(203) 332-7117
2456 Park Ave
Bridgeport, CT
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Obstetrics & Gynecology
Insurance
Medicare Accepted: No
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Accepts Uninsured Patients: No
Emergency Care: No


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Maria C Asis, MD
(203) 562-6741
1435 Chapel St
New Haven, CT
Business
Asis Medical Associates
Specialties
Obstetrics & Gynecology

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Charles B Helm, MD
(203) 284-1060
185 Center St
Wallingford, CT
Business
Daniel T Dennehy MD
Specialties
Obstetrics & Gynecology

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Wilhelmina Garrison
(203) 333-8857
625 Clinton Ave
Bridgeport, CT
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Obstetrics & Gynecology
Insurance
Medicare Accepted: No
Workmens Comp Accepted: No
Accepts Uninsured Patients: No
Emergency Care: No


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Scott Vandervennett
(203) 330-6000
361 Bird St Southwest Community Hlth
Bridgeport, CT
Specialties
Obstetrics & Gynecology
Insurance
Medicare Accepted: No
Workmens Comp Accepted: No
Accepts Uninsured Patients: No
Emergency Care: No


Data Provided by:
Mark Laser
(203) 336-9550
3180 Main St Suite 101
Bridgeport, CT
Specialties
Obstetrics & Gynecology
Insurance
Medicare Accepted: No
Workmens Comp Accepted: No
Accepts Uninsured Patients: No
Emergency Care: No


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Vaginal Birth after Cesarean (VBAC)

Bradley Goldberg, MD

Almost 25% of the babies born in this country are delivered by cesarean section. Of these cesarean deliveries, one-third are repeat cesarean sections. In the past, it was believed that once a woman had a cesarean section, that all of her subsequent deliveries should also be cesarean. However, the current medical opinion is that most of these women can attempt a natural, vaginal delivery.

There are several reasons why a woman should want to attempt a vaginal delivery. First of all, there are more risks involved for the mother with a cesarean section, it is after all, major abdominal surgery. This means that there is more of a chance for blood loss, transfusion, and infection. There will be more days spent in the hospital after delivery, and the overall recovery time at home for the mother is much longer than the recovery from a vaginal delivery. In addition, the hospital costs can be more than twice as expensive.

For all of these reasons, women who have had a cesarean in the past should strongly consider natural delivery for subsequent pregnancies. Several studies support this recommendation, and successful vaginal deliveries are possible in up to 80% of appropriately selected patients. The 20-30% who are not successful will require a repeat cesarean section. As with most medical procedures, there are risks involved in attempting a vaginal birth after cesarean section (VBAC). For the most part, these risks are less than the risk of proceeding with an automatic repeat cesarean delivery. In fact, numerous medical studies have demonstrated that there is no increased risk of illness or death to the mother or the baby when VBAC is attempted.

An important point here is that some women may not be a candidate for a trial of labor after a previous cesarean delivery. For the most part, whether or not you would be a candidate depends upon the type of incision made on your uterus (womb) during the previous cesarean section. This information is readily available to your doctor through hospital records. After obtaining these records, your doctor can discuss your options and any risks involved. Of course it is always your right as a patient to request the delivery route that you feel is most appropriate for you, and your baby.

Bibliography

1. Williams Obstetrics, 20th Edition, F. Gary Cunningham, M.D. et.al., Appleton & Lange, Stamford, Connecticut, 1997.

2. Vaginal Birth After Cesarean Delivery, ACOG Patient Education, AP070, 1990, reviewed 1995.

3. Vaginal Delivery After Previous Cesarean Birth, ACOG Practice Patterns, No. 1, August 1995.

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