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Uterine Disorders

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Vaginal Birth after Cesarean

Aka: Vaginal Birth after Cesarean, Trial of Labor after Cesarean, VBAC, TOLAC
  1. Criteria (ACOG)
    1. One or two prior low-transverse cesarean sections
    2. Adequate Pelvis for delivery
    3. No contraindication below
    4. Physician immediately available during active labor
      1. Capable of monitoring labor
      2. Immediate cesarean delivery available
  2. Contraindications
    1. Prior classic or T-shaped incision
    2. Prior transfundal uterine surgery
    3. Uterine scar other than low-transverse cesarean scar
    4. Contracted Pelvis
    5. Medical or obstetric complications preclude VBAC
    6. Criteria above not met
  3. Precautions
    1. Cervical Ripening agents have higher risk of rupture
      1. Contraindicated in VBAC patients
  4. Complications (VBAC considered to be relatively safe)
    1. Uterine Rupture (38 per 10,000 trials of labor)
      1. See Uterine Rupture for risks
    2. Perinatal death (1.4 per 10,000 trials of labor)
    3. Hysterectomy (3.4 per 10,000 trials of labor)
    4. References
      1. Guise (2004) BMJ 329:19-25
  5. References
    1. (1999) Int J Gynaecol Obstet 66:197-204

Vaginal Birth after Cesarean (C0080301)

Definition (NCI) The method referring to the delivery of a fetus through the vaginal canal after the mother has had a cesarean delivery with a previous pregnancy.
Definition (MSH) Delivery of an infant through the vagina in a female who has had a prior cesarean section.
Concepts Therapeutic or Preventive Procedure (T061)
MSH D016064
English Vaginal Birth after Cesarean, Vaginal Birth after Cesareans, Vaginal Births after Cesarean, Vaginal Birth After Cesarean, VAGINAL BIRTH AFTER CAESAREAN, VBAC, vaginal birth after caesarean, vaginal birth after cesarean, vaginal births after cesarean
Swedish Vaginal förlossning efter kejsarsnitt
Czech vaginální porod po císařském řezu
Finnish Keisarileikkauksen jälkeinen alatiesynnytys
Russian RODY VAGINAL'NYE POSLE KESAREVA SECHENIIA, РОДЫ ВАГИНАЛЬНЫЕ ПОСЛЕ КЕСАРЕВА СЕЧЕНИЯ
Japanese 帝王切開後経腟分娩, 帝王切開後経膣分娩, 帝王切開後膣出産, 分娩-帝王切開後経膣, 帝王切開後腟出産
Spanish Parto Vaginal Después de Cesárea, Parto Vaginal Despues de Cesarea
French Accouchement par voie vaginale après césarienne, Accouchement naturel apres césarienne
Polish Poród naturalny po cięciu cesarskim
German Vaginalentbindung nach Kaiserschnitt
Italian Parto vaginale in paziente con pregresso taglio cesareo
Dutch Geboorte, vaginale, na een sectio caesarea, Vaginale geboorte na een sectio caesarea
Portuguese Nascimento Vaginal Após Cesárea
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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