Repeat Cesarean Section: A Case Study

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Repeat Cesarean Section; prior uterine incision from a myomectomy or previous cesarean section may weaken the uterine wall or predispose to rupture if labor is permitted. For many years it was believed that" once a cesarean, always a cesarean". However, as multiple publications documenting the safety of VBAC began appearing in the literature, many physicians moved away from this long-held belief. In 2000, a national goal was to lower the rate of repeat cesarean sections to 3% while increasing the VBAC rate to 35%. So as more and more VBACs were performed in less than ideal settings, more complications arose and as a result of this it appears to be a trend back toward the belief of "once a cesarean, always a cesarean." Suffice it to say, "once …show more content…
However, this procedure is successful in allowing vaginal birth in only 50% of cases.
Fetal Distress
Fetal monitoring before and during labor may disclose fetal problems that otherwise would not be evident, as a result of continuous fetal monitoring, the number of cesarean sections performed for the indication of fetal distress or fetal jeopardy has increased. Best estimates demonstrate that approximately 10% of cesarean sections are performed because of fetal distress.
Other indications in addition to the indications above are, placenta previa, preeclampsia–eclampsia if remote from term, multiple gestations, fetal abnormalities (eg, hydrocephalus), cervical cancer, and active herpes infection. One other indication that is becoming more prevalent is patient choice.

Cesarean section is contraindicated in circumstances in which the fetus is dead ( except in; extreme degree of pelvic contraction, neglected shoulder severe accidental hemorrhage), Disseminated intravascular coagulation as those patients are at risk of excessive blood loss, and also a pregnant women with extensive scar or pyogenic infection in the abdominal wall e.g. in