Question

Chris was caring for a 27 year old woman who just delivered her first infant by emergency Cesarean birth. The mother was upset because she believed she would have to deliver subsequent children by cesarean birth. She asked Chris about the risks of birth complications with vaginal birth after cesarean (VBAC). Chris decided to look for the best possible evidence to answer her question. Which of the following options accurately describes the risks of birth complications with vaginal birth after cesarean (VBAC)?

1) Increased risk of uterine rupture and other complications compared to a planned repeat Cesarean birth
2) No increased risk of uterine rupture or other complications compared to a planned repeat Cesarean birth
3) Increased risk of uterine rupture but decreased risk of other complications compared to a planned repeat Cesarean birth
4) D. Decreased risk of uterine rupture but increased risk of other complications compared to a planned repeat Cesarean birth

Answer 1

The risks of birth complications with vaginal birth after cesarean (VBAC) include an increased risk of uterine rupture and other complications compared to a planned repeat Cesarean birth.

Step-by-step explanation:

The accurate answer to the question is option 1) Increased risk of uterine rupture and other complications compared to a planned repeat Cesarean birth. A vaginal birth after cesarean (VBAC) carries a higher risk of uterine rupture compared to a planned repeat cesarean birth. Uterine rupture is a serious complication where the incision made during the previous cesarean birth tears open, which can lead to hemorrhage and other complications.