Repeat Cesarean may reduce the Risk to both the Mother and the New-Born

Whether a woman who has given birth to a child through a cesarean section should undergo another cesarean in her subsequent delivery or should she opt for a vaginal delivery is a matter which has always been controversial. While some doctors advocate a repeat cesarean, there are many who are in favor of a vaginal delivery. Now, doctors from Australia have come up with another large study which suggests that going for a repeat cesarean section reduces the risk to both the new-born as well as the mother. The results of the study have been published in the latest issue of the international journal, PloS Medicine.

The study was led by Professor Caroline Crowther from the Australian Research Center for the Health of Women and Babies (ARCH) and is called as the Birth after Cesarean (BAC) study. The study included 2,345 women who had one prior cesarean section and were eligible for a vaginal birth after cesarean (VBAC). The women came from 14 Australian maternity centers. They were given a choice between a repeat cesarean and a planned vaginal delivery. The groups were analyzed for serious infant complications or fetal death or death of a live-born baby before discharge from the hospital. It was seen that these complications were significantly less in case of elective repeat cesarean section (0.9%) compared to cases of vaginal birth after cesarean (2.4%). It was also seen that while 2.3% of women undergoing a vaginal delivery after cesarean required a blood transfusion due to a major hemorrhage, the percentage of such women was significantly less (0.8%) in case of elective repeat cesarean.

On the basis of these results, the researchers have opined that a planned elective repeat cesarean is associated with a reduced risk of fetal death, death of a new-born, or serious complications in a new-born, as compared to a planned vaginal birth after cesarean. Similarly maternal complications like major hemorrhages are also significantly less in case of repeat cesarean section.

Monday, March 19, 2012
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