Je, mwanamke aliyejifungua kwa operation aweza kujifungua kwa njia ya kawaida?

Vaginal Birth After Cesarean (VBAC)

At one time, it was believed that once a woman had a cesarean delivery, all of her future children would be delivered in the same way. The reason for this was that providers were concerned that the uterus might have been weakened by the first operation so that labor could cause the uterus to rupture.
Now, providers will often make the incisions during a cesarean delivery in such a way that the mother can have her future babies vaginally. This is called "vaginal birth after cesarean," or VBAC. Today, most women are encouraged to try for a vaginal birth after previously having a cesarean delivery. Sixty to 85 percent of women succeed in having a VBAC.
If you've had a cesarean delivery and want to consider having a VBAC, your provider may want to review the records of your previous labors to determine if a VBAC is a safe option for you.

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[h=3]What are my chances of giving birth vaginally after having a c-section?[/h]As long as you're an appropriate candidate for a vaginal birth after a cesarean, also known as a VBAC, there's a good chance you'll succeed. Of course, your chances of success are higher if the reason for your prior c-section isn't likely to be an issue this time around.

For example, a woman who has already had an easy vaginal delivery and then had a c-section when her next baby was breech is much more likely to have a successful VBAC than one who had a c-section after being fully dilated and pushing for three hours with her first baby who was small and properly positioned. (Having given birth vaginally boosts your odds dramatically.)


[h=2] Birth Stories [/h] Read moms' inspirational birth stories: Natural, c-sections, inductions, even birth in a minivan.





That said, it's impossible to predict with any certainty which women will achieve a vaginal delivery and which will end up with a repeat c-section. Attempting a VBAC is called a Trial of Labor After Cesarean (TOLAC). Overall, about 60 to 80 percent of women who attempt a VBAC deliver vaginally.

If you decide to try it, you'll need a caregiver who supports the idea. Your caregiver must also have admitting privileges at a hospital that allows VBACs and where appropriate coverage is available around-the-clock.
Not all hospitals meet the criteria for offering a VBAC. In addition, some hospitals simply avoid the controversy – and the potential for legal issues – surrounding VBAC by not allowing them. Most often, however, it's up to individual doctors whether or not they are willing to provide a VBAC.

VBACs are controversial, and it may be challenging to find a practitioner who is willing to do one. Give yourself plenty of time to look around.
[h=3]What would make me a good candidate for a VBAC?[/h]According to the American College of Obstetricians and Gynecologists, you're a good candidate for a vaginal birth after a c-section if you meet all of the following criteria:

• Your previous cesarean incision was a low-transverse uterine incision (which is horizontal) rather than a vertical incision in your upper uterus (known as a "classical" incision) or T-shaped, which would put you at higher risk for uterine rupture. (Note that the type of scar on your belly may not match the one on your uterus.)
• Your pelvis seems large enough to allow your baby to pass through safely. (While there's no way to know this for sure, your practitioner can examine your pelvis and make an educated guess.)
• You've never had any other extensive uterine surgery, such as a myomectomy to remove fibroids.
• You've never had a uterine rupture.
• You have no medical condition or obstetric problem (such as a placenta previa or a large fibroid) that would make a vaginal delivery risky.
• There's a physician on site who can monitor your labor and perform an emergency c-section if necessary.
• There's an anesthesiologist, other medical personnel, and equipment available around-the-clock to handle an emergency situation for you or your baby.

Factors that would work against your having a successful VBAC include:

• Being an older mom
• Having a high body mass index (BMI)
• Having a baby with a high birth weight (over 4,000 grams, about 8.8 pounds)
• Having your pregnancy go beyond 40 weeks of gestation
• Having a short time between pregnancies (18 months or less)

Talk with your practitioner about your individual chance of success and carefully weigh the benefits and the risks.

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Iyokopokomayoko said:

Anatakiwa aelewe ni nini kilipelekea akajifungua kwa operation na hicho ndicho cha kukiepuka. Ni lini azae tena bilashaka ni miaka 7 kupita baada ya yule aliyejifungua kabla kuwa ameanza kwenda shule.

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Mlaleo said:

Oh Mama kuna Jirani yangu Alijifungua majuzi juzi na Mtoto wake bahati mbaya akafariki na alijifungua kwa Opareshini namuonea imani sana maana hiyo miaka saba si mchezo.... wakati ndoa yake mbichi.... kabisa

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