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UK Wedding News

02/10/2015

Normal Birth After Caesarean Section Is Clinically Safe - Report

Vaginal birth after a previous caesarean section (VBAC) is a clinically safe choice for most women, according to a new RCOG guideline.

Research confirms that VBAC has a success rate of around 75%.

The success rate rises to 85-90%, if the woman has had a previous successful vaginal birth.

After two or more CS births, the rate of success remains high at 71%.

Louise Silverton, RCM director for midwifery, welcomed the guidance.

She said: "Existing research has indicated that previous childbirth experience plays an important role in decision-making about methods of childbirth, and this guidance will support clinicians to discuss this issue with women,’ she said.

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"This shows that the majority of women who have had one CS can have a vaginal birth next time. Women should speak to midwives and doctors about what options they have, so they fully understand what care pathway is available to them and what will be involved.

"One area where practice is variable is in the prevention of the first CS. Following the NICE guidance on this, with senior obstetricians being involved in the decision making with the woman, will reduce the number of women having that first CS, particularly amongst first time mothers."

Around a quarter of births in the UK are delivered by CS, the majority due to emergency intervention, and around 10% are elective.

The new guideline provides evidence-based information to help doctors advise women of the choices available to them, and manage their care through subsequent pregnancies and births.

(CD/MH)

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"Vaginal birth after a previous caesarean section (VBAC) is a clinically safe choice for most women, according to a new RCOG guideline."