Having a cesarean delivery does not imply that the following should be the same way. Although this is a fairly widespread version, a new study based on information from real births states that It is possible to have a vaginal delivery after three or more C-sections.
It was previously believed that having had a first cesarean delivery caused the next one to be in the same way due to the risk of rupture of the uterine scar during labor, however vaginal deliveries are becoming more frequent after one Caesarean section (PVDC) without complications for the mother or the baby.
In a new study published in BJOG (International Journal of Obstetrics & Gynaecology) The researchers found that women with at least three previous C-sections were not at greater risk of having a uterine rupture in vaginal delivery than those who had had a previous C-section.
To reach this conclusion, the medical records of 25,000 women who had had at least one previous C-section with a low transverse incision (a horizontal cut in the lower part of the uterus), which has a low risk of rupture, were analyzed.
Among them, 860 had had three previous caesarean sections, of which 89 attempted a vaginal delivery while the rest preferred to repeat the caesarean section.
There were not in both groups no case of uterine rupture.
Among the 89 who had a vaginal delivery there were no cases of bladder or bowel injuries, or lacerations in the uterine artery, however there were 2 percent among those who repeated the caesarean section.
In cases where it was not necessary to opt for an emergency C-section during labor, the possibilities were similar regardless of the number of previous C-sections.
In short, the chances of success of having a vaginal birth after one or two caesarean sections, it stood at 75 percent, while after three or more caesarean sections, it increased to 80 percent.
These findings demonstrate that, although every woman is a world and it should be the gynecologist who in each case evaluates the risks of trying a vaginal delivery after one or several C-sections, Vaginal delivery could be a safe option even after three or more C-sections without assuming a greater risk than those that have had only one.
If so, in view of the new evidence that ratifies previous versions, gynecologists should consider a modification in the recommendations to pregnant women when deciding the type of delivery they will have.
