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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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3 C-sections And One Episiotomy In 2nd Gravida. How Many Chances Of Getting A Vbac For The Fifth ?

hi there i m a mother of four kids and this is my fifth pregnancy i ve had three c-sections and one episiotomy in my 2nd gravida. kindly tell me how many chances do i have of getting a vbac as i find c-section full of troubles and worries and psychologically disturbed. will the uterine wall rupture if i go for normal delivery.in my country 65% doctors say u will have a c-section. Kindly try your best to satisfy me regards , saima
Mon, 3 Sep 2012
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OBGYN 's  Response
hi,
if you have one vaginal delivery after one cesarean section then there will be more chances for vbac, but as again you had two cesarean sections after vaginal delivery, so it is difficult to have vbac now,
definitely there will be increased chances for uterine scar dehiscence as repeated surgeries will make the scar weak,
though postoperative period after cesarean is some what stressful but compared with risks involved in vaginal better to go for cesarean, in cesarean also as you are now going for 4th time you have to plan elective and little early termination as safe side and better to undergo tubectomy this time.
take care.
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3 C-sections And One Episiotomy In 2nd Gravida. How Many Chances Of Getting A Vbac For The Fifth ?

hi, if you have one vaginal delivery after one cesarean section then there will be more chances for vbac, but as again you had two cesarean sections after vaginal delivery, so it is difficult to have vbac now, definitely there will be increased chances for uterine scar dehiscence as repeated surgeries will make the scar weak, though postoperative period after cesarean is some what stressful but compared with risks involved in vaginal better to go for cesarean, in cesarean also as you are now going for 4th time you have to plan elective and little early termination as safe side and better to undergo tubectomy this time. take care.