Having had a previous C-section became, in most cases, a reason to indicate a new C-section. With this measure, in the last decades the rates of caesarean sections have increased markedly worldwide, reaching alarming figures in some countries like Brazil where more than half of the babies are born in this way.
This indication began to be questioned by doctors and scientific societies and in recent years important studies have been carried out to assess its suitability. Based on these investigations, the Royal College of Obstetricians and Gynaecologists (RCOG) of the United Kingdom has developed a new guide to childbirth care in which it ensures that tIt is possible and safe to have a vaginal delivery after a C-section (PVDC).
According to the new RCOG guidelines, having a vaginal delivery after a C-section has a success rate of around 75%, which is the same as for new mothers. On the other hand, after a vaginal delivery, the probability of having a satisfactory vaginal delivery is again around the 85%-90%.
Even after having previously two caesarean sections or more, the success rate remains high. It barely comes down to 71% success, which is also recommended to try.
AdvertisingAccording to experts, the greatest risk is that after trying vaginal delivery, it is not possible and an emergency cesarean should be performed. If this happens, the risk of bleeding increases to 14.1% compared to 3.6% of a planned C-section.
This means that Most women who have given birth by caesarean section can have their next child through a vaginal delivery. unless there are clinical reasons why a vaginal birth should not be attempted.
