Virginal Birth after Cesarean Section - Essay Example

"Virginal Birth after Cesarean Section" is a perfect example of a paper on pregnancy. Vaginal birth after cesarean section is the delivery of a child through the vagina after a previous cesarean section.  The rationale in the past was that once a lady had gone through a cesarean section, her future delivery will go through the same process as well.  Some women in today’s era have opted for homebirths. Studies show that home births can accomplish with low risk when a qualified provider and collaborative system. A 1998 study showed the study of women intending home births in different home nurse practices in the United States. Some of the women had previously delivered by c section. The article describes the outcomes for these women who have had a previous cesarean section. The information relates to the controversy of vaginal birth after a cesarean section.  Close to 80% of women who had a previous cesarean section are suitable to have a vaginal birth, unlike what records show that it’s less than 50% who can have a successful vaginal birth. Contradicting information is passed to women in order to help them have a firm choice on how to facilitate the process. (RCOG, 2009)

The rationale for selecting the topic

         The logical basis for this article is to clarify the various controversies of having a vaginal birth after a c section since the 1980s to early 1990s the option for a woman who had a previous cesarean section and planned to deliver through the vagina was offered.

Main topics of the point

 The topic will address the following issues: what are the rates of utilization of trial and labor after a c section.  What is the vaginal delivery rate among the mothers who attempt a vaginal delivery after a prior cesarean? What are the effects on women having vaginal delivery after a prior c section? The short term and long term effects on the newborn though vagina after prior c section and what factors influence the side effects. What are the factors that influence the utilization of labor prior to cesarean?  The priority investigation needed to address the gaps for decision making on which way to take.

THE TOPIC

 Since the survival of the first expectant mother after the first cesarean section, various debates have been raised as early as 1959. Vaginal birth after cesarean section is successful to approximate 70% of all the time it has been carried out with a 1% uterine rapture. Several series of events have led to a massive intake of (VBAC) vaginal birth after cesarean section.  In example 1981 the first event on cesarean childbirth was held at a national health consensus conference. The meeting ended with unanimous results of increasing vaginal births after the cesarean section this led to the publishing of guidelines that were less restrictive. In 1995 a guideline was passed stating that all women should undergo vaginal birth after cesarean section. This led to the highest vaginal birth after a cesarean section in the United States at 23.8% in 1996, (ACOG 1985).

Effect of VBAC on maternal child nursing

 Virginal birth after cesarean section risks the newborn to brain damage or loss of life of the baby. This is almost the same if a woman was laboring for the first time and higher if a woman goes under the repeated cesarean section.  Virginal birth after cesarean section will also cause weakening of the expectant mother uterus. If this happens it may lead to serious side effects for the mother and the newborn.  Mothers choosing Vaginal birth after cesarean section have chances of requiring blood transfusion or having infections in the uterus as compared to the women who prefer planned cesarean section. Breathing problems for the newborn may also result.  The newborn will need to undergo the special baby care unit. Close to 3-4% of babies born through vaginal birth after cesarean section end up having breathing problems.(Rosen 2010)

Literature review, sample, size, methods, and findings.

 Close to 40% of 1.3 million cesarean deliveries performed in the United States are recurring procedures.  For vaginal birth after cesarean section to be effective, early screening, careful candidate selection, and counseling would be ideal in informing expectant mothers on the childbirth outcomes national institute of health’s consensus development published a book in 1985 on recommendations that vaginal birth after c section should be done. The outcomes associated with vaginal birth after cesarean section include; uterine rapture bladder injury thromboembolic disease and loss of life. Expectant mothers going through vaginal delivery after cesarean section risk chronic problems such as pain, the rapture of the uterus, and loss of life of the newborn. Considerations that may influence the decision of vaginal birth after cesarean section include the number of previous cesarean delivery, the surgical incision used during the previous caesarian. Improved understanding of risks and benefits of vaginal birth after cesarean should be passed to women. Guidelines reviewed include; vaginal birth after cesarean section: views from the private practioner Chet Edward among others. Medline the database of abstracts of reviews of effectiveness and the Cochrane database was also researched for the article.

 Legal considerations related to the maternal practice

         Legal consideration refers to those rules made by people that regulate social conduct in a formally prescribed manner (Bernzweig).

 Standards of care refer to minimum criteria for competent.  This law is ideal for determining if a nurse has violated their governing law. This law also determines if a nurse has violated state or codes.

CONCLUSION:

Women undergoing cesarean delivery are at increased risk of chronic problems as compared to women undergoing vaginal birth after a cesarean section. Women undergoing multiple repeat cesarean deliveries are also at increased risk of life-threatening hemorrhage. 

Improved understanding of the clinical risks and benefits will help the patient in understanding more about vaginal birth after cesarean.(Martin 2009)

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