Vaginal Birth After Caesarean Section, Uterine Rupture
With the caesarean section rate in the United Kingdom currently sitting at 26% an increasing number of women will present in a subsequent pregnancy having had a previous caesarean section. It is important that women should be appropriately risk assessed and counseled regarding the pros and cons of vaginal birth after caesarean section or a second abdominal delivery. Counseling should include detailed discussions regarding the risks of scar dehiscence and uterine rupture particularly in those women consenting to induction of labour. Failure to adequately document and provide accurate information could lead to litigation claims particularly where there is an adverse outcome. This chapter sets out the areas where litigation could occur and provides strategies to minimize the chances of both adverse outcome and subsequent complaints.
KeywordsVaginal birth after caesarean section VBAC Uterine rupture Scar rupture Scar dehiscence Maternal morbidity
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