Just as uterine rupture is more common in women who have a VBAC attempt than in those who choose elective repeat cesarean section
, so are adverse perinatal outcomes.
She would also want to know that elective repeat cesarean section carries an increased risk of death for her.
The time investment, and associated costs, required for nurses and doctors for an elective repeat cesarean section is much less than for labor and a vaginal birth.
-- Maternal outcomes are better when obese women undergo elective repeat cesarean section instead of a trial of labor, results of a retrospective study suggest.
The odds of having a failed trial of labor--and the risks associated with a subsequent C-section--far outweigh the downsides of having an elective repeat cesarean section, Dr.
The study showed no maternal benefit in resorting to early caesarean sections before 39 weeks and in fact showed improved perinatal outcomes in delaying the elective repeat cesarean sections
to 39 completed weeks of gestation.
For the study, the researchers examined 13,258 women who had elective repeat cesarean sections at the 19 centers of the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Maternal-Fetal Medicine Units (MFMU) Network from 1999 through 2002.
Of the 13,258 women who had elective repeat cesarean sections, as many as 35.8 percent were delivered before 39 weeks.
More than 7000 elective repeat cesarean sections
would be needed to prevent 1 perinatal death associated with uterine rupture, and almost 3000 to prevent 1 hysterectomy.