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Childbirth/C-Sections & Risks

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Expert: - 2/1/2010


Question
If I've had 3 prior C-Sections using the "Bikini cut" and I had alot of scar tissue the doctor had to cut through last time, and I want to have a fourth baby, could I safely get a Verticle Incision this time instead of using the same Bikini Incision again?  Which would have less Risks?  Re-opening the same incision, or having a whole new incision site or a VBAC?

Answer
Erica,

No, a vertical incision is never recommended - it is used only in true emergency situations where general anesthesia must be used to get the baby out immediately.


Without more detail, it's impossible to say whether a new incision, re-opening the old, or a VBAC would be the safest.  It depends upon the time between births, the amount and location of scar tissue, the reasons for the c-sections, and if any other complications, such as uterine adhesions are present at the old incision site.


I would encourage you to ask your care provider these questions as only a detailed review of your records will allow for a reliable answer on the safest course in your particular situation.



Best,
Catherine

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Catherine Beier MS CBE

Expertise

I can provide evidence-based information and current research findings concerning childbirth and pregnancy. My specializations include natural childbirth, pregnancy and birth interventions, fetal positioning, labor induction, choosing a care provider, midwives, homebirth, unassisted birth, natural pain relief, medications in pregnancy and birth, informed consent, understanding the risks and benefits of childbirth choices, doulas, waterbirth, childbirth methods, childbirth education classes, cesarean section, and VBAC.

Experience

I have been a childbirth educator, mother, author, public speaker, researcher, and birth advocate for the past 9 years. I am also the author of Giving Birth Naturally, a site dedicated to natural childbirth and pregnancy information. I publish evidence-based articles on pregnancy, childbirth, newborn care, and post-partum care. I'm also a mother of three children, two daughters and one son all born naturally. To learn more about what normal birth looks like, view the natural childbirth video of my son being born at home unassisted.

Publications
My book, Birth Outside the Box, was published in 2007.

Education/Credentials
I hold a Master's degree in communication disorders with an emphasis in child development. I am also an independent childbirth educator.

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