The prognosis for a successful vaginal birth after a cesarean (VBAC) may be at least 75 percent, especially when the c-section involved a low transverse incision in the uterus, and there were no complications during or after delivery.
It is important that she be able to verbalize an understanding that she could not control the events that made the c-section necessary and recognize the importance of preserving the health and safety of both herself and her child.
If a fetus is in the breech position in the last weeks of pregnancy, there are three possible courses of action: cesarean section (or c-section), attempted external cephalic version, or vaginal breech delivery.
The use of continuous monitoring does result in a higher c-section rate partly because the tracing can be misinterpreted or because the mother usually requires more interventions when she cannot be mobile.
However, some physicians are concerned that the late 1990s and early 2000s trend toward decreasing elective c-section deliveries will result in more cases of brachial plexopathy among newborns.
When a c-section becomes necessary and if it is not an emergency, the mother and her significant other should take part in the choice of anesthetic by being informed of risks and side effects.
Breech presentations were still delivered vaginally in the 1970s, but with the advent of the malpractice climate, many doctors shied away from this practice, opting to perform a c-section.
The procedure is often used in women who have had a previous c-section, but if the incision on the uterus is not vertical, the woman can try a vaginal birth after cesarean (VBAC).
The maternal death rate for c-section is less than 0.02 percent (5.8 per 100,000 live births), but that is four times the maternal death rate associated with vaginal delivery.
Reportedly, Spears' original intent was to schedule a c-section delivery on September 14, the same day her first child was born, but hubby Kevin Federline opposed to the idea.