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Discuss evidence based practice of repeat cesarean sections and vaginal births after cesarean section - Research Paper Example

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Name: Name of Institution: Abstract As a result of complications during delivery, many women in the modern society have in many cases opted for a caesarian delivery other than the normal vaginal birth. Many cases have turned out to be successful while few have resulted into complications…
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Discuss evidence based practice of repeat cesarean sections and vaginal births after cesarean section
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of As a result of complications during delivery, many women in the modern society have in many cases opted for a caesarian delivery other than the normal vaginal birth. Many cases have turned out to be successful while few have resulted into complications. However, the main focus of attention for many health practitioners has been whether or not to perform a C-section on subsequent deliveries or whether vaginal birth is possible in deliveries that come after a C- section. Due to complications that might be associated with vaginal birth after a C-section, it is therefore not much recommended. The main purpose of this research paper is to demonstrate that due to consequences associated with vaginal birth after a C- section, a repeated caesarean section is much better. Introduction Newby (2006) observes that over a long period of time, a caesarian section meant that there were no any hopes for future vaginal birth by the affected mother. A C-section for any given mother delivering was termed as the safest way of ensuring that other complications related to birth do not result and both the mother and baby remain safe. However, continued research found out that indeed, it is possible for the mother to deliver through vaginal birth in other deliveries after a C-section. Recent research has however shown that the mother is much safer if a repeated C-section is carried out than when she opts for a vaginal birth. Vaginal Birth After C-Section (VBAC) Celeste (2010) argues that due to changes in surgical operations and advancement in technology, vaginal birth after a C-section has been made possible in most cases. Statistics indicate that between 60% and 80% cases of VBAC have turned out to be successful without any signs of complications. Whether a VBAC will be successful or not wholly depends on whether a hospital has enough resources in terms of equipment and manpower to handle an emergency C- section in case it fails. In addition to that, many birth complications have become a hindrance to a successful VBAC. In 2005, the US center for disease control and prevention highlighted that the rate of Caesarian delivery had hit 29.1%, which is almost half of all deliveries that were recorded. The most notable fact about this is that almost 90% of those mentioned above registered as candidates for VBAC in their next delivery. Further research shows that most women who have had both a C-section and a vaginal birth opt for the latter in most cases. There are however several risks that are associated with VBAC including. a. Risk of uterine rupture Many medical practitioners have reservations for a VBAC because of the risk of uterine rupture during the process. Mansion and Ammer (2009) argues that if one had a caesarian with a low transverse incision, then this puts him at a risk of about 2% uterine rupture during the process. b. Twin pregnancy A VBAC is also not suitable for delivery of twins because it puts the mother at a greater risk than a repeated caesarian where chances of succeeding are high. c. Risk of failing In cases whereby a VBAC is attempted but fails, there is a higher risk of infection doubling because it leads to an emergency caesarian. It is also associated with a temporary discomfort around the vagina for the mother. Repeated Caesarian section Many scholars argue that a repeated caesarian section can be a life saving option for both the mother and the baby. Although many medical personnel have been on the forefront in advising women who have had a C-section before to try vaginal birth, statistics indicate that many of them opt for a repeated C-section in the fear of not wanting to risk their lives (Goodrich, 2007). To add on that, findings of research done by Mansion and Ammer (2009) indicated that a repeated caesarian section is mostly associated with increased maternal age, low maternal height and where there is no previous vaginal birth. However, repeated caesarian section receives much support because of the advantages that it is associated with as compared to VBAC. Advantages of a repeated C- Section A repeated C- section is positively associated with: 1. Small chances that the baby will develop respiratory complications Research shows that babies who are born in plenty supply of oxygen are less likely to suffer from effects of anoxia. A repeated C-section puts the baby in a better position to get an adequate supply of oxygen as compared to when a VBAC is more likely to hinder the supply of oxygen. 2. Low risk of Uterine rupture As a result of repeated caesarian, a VBAC can be such life threatening for the baby because incase of uterine rupture, the baby is at risk of developing several neonatal complications. A repeated caesarian therefore abolishes the risk of all these and puts both the mother and the child at a safer position in the whole process of delivery. Conclusion A successful caesarian delivery for the first time mothers leaves them in a dilemma on whether to choose for a VBAC or a repeated C-section in subsequent births. This paper highlights facts about the two modes of delivery. However, much support is given to a repeated C-section because of the advantages it has over a VBAC. References Celeste, P., (2010), Family- Centered Maternity care, Cambridge: Sinclair Press retrieved from http://books.google.co.ke/bkshp?hl=en&tab=wp. Goodrich, B., (2007), Maternity: A guide to prospective motherhood, Oxford: Oxford University Press. Retrieved from http://books.google.co.ke/bkshp?hl=en&tab=wp Mansion, J., & Ammer, C., (2009), The Encyclopaedia of Women’s Health, New York: Infobase Publishing http://books.google.co.ke/bkshp?hl=en&tab=wp. Newby, F., (2006), Maternity: Real stories of motherhood, New York: Oak Press. Retrieved from http://books.google.co.ke/bkshp?hl=en&tab=wp . Read More
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