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A study by the NIH and HICHHD examined the risk of vaginal birth following a prior Cesarean delivery. It was found that the risk was only slightly higher. Some of those who had a vaginal birth following a prior cesarean had a rupture of the uterus. Rupture of the uterus was more common in women who had drugs to speed up or induce labor. Other babies suffered from hypoxic ischemic encephalopathy caused by lack of oxygen to the brain as a result of heavy maternal bleeding, placenta detachment or other complications. Most of them were a result of uterine rupture. Women attempting a vaginal delivery were also slightly more likely to have an infection of the uterine lining. There was not statistical difference in the maternal death rate between the two groups. Repeat cesareans may increase the risk of complications in future pregnancies such as placenta implant over cervix or placenta growth into uterine wall which could lead to the requirement of surgical removal of the uterus.
Source: summary of medical news story as reported by Asian News International
About: Vaginal birth following prior cesarean does not significantly increase risk of complications
Date: 12 January 2005
Source: Asian News International
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