VBAC Flashcards
1
Q
What is the success rate of the non-recurring causes of initial CS?
A
70%
2
Q
What is the success rate of recurring causes of initial CS?
A
60%
3
Q
What are the benefits of VBAC?
A
Quicker recovery time Impact on future pregnancies Higher maternal satisfaction Reduced tachypnoea of the newborn Exposure to vaginal flora
4
Q
How long does full healing after a CS take to occur?
A
2 years
5
Q
What are the risks of VBAC?
A
Scar rupture/dehiscence
Risk of emergency CS
6
Q
How does scar rupture present?
A
Continuous pain (as apposed to cyclical contraction pain)
Fetal heart deceleration
Contractions cease
Change in presenting part
7
Q
What is the risk of scar rupture?
A
0.5-1%
8
Q
What are the risks in elective CS?
A
Anaesthetics Haemorrhage Infection (1:20) TTN Damage to viscera - particularly bladder DVT Future pregnancy problems - placenta praevia
9
Q
How does the intrapartum care differ?
A
Come in early Continuous CTG - to catch deceleration IV access, group and hold, in hospital Closely assessing progress - regular VEs No augmentation
10
Q
How does the risk of rupture change with IOL?
A
2% with ARM and synt
4% with prostin
