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It is unlikely that you will have the same problem again with future pregnancies or births. However, the fact that you have had a caesarean section can cause different problems for future pregnancies or births. If you become pregnant again, you will need to talk to your doctor about whether your next birth will be a caesarean or a vaginal birth.

Many women who have previously had a caesarean section can safely give birth vaginally. This is commonly referred to as 'vaginal birth after caesarean section' or VBAC.

One of the risks associated with VBAC is rupture of the uterine scar. About one in every VBACs attempted results in rupture of the uterine scar. For those women who do have a uterine rupture, there is an increased risk of hysterectomy and stillbirth.

If you have had a previous caesarean section, to make an informed decision, it is recommended that you:.

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All users are urged to always seek advice from a registered health care professional for diagnosis and answers to their medical questions and to ascertain whether the particular therapy, service, product or treatment described on the website is suitable in their circumstances. The State of Victoria and the Department of Health shall not bear any liability for reliance by any user on the materials contained on this website. Skip to main content. Healthy pregnancy. Home Healthy pregnancy. Caesarean section.

Actions for this page Listen Print. Summary Read the full fact sheet. On this page. Reasons for a planned caesarean section Reasons for an unplanned caesarean section Things to consider before having a caesarean section Anaesthetic for a caesarean section Types of caesarean sections Preparing for a caesarean section During a caesarean section After a caesarean section Special care for your baby after a caesarean section Risks and complications of a caesarean section First six weeks after a caesarean section Long-term health outlook after a caesarean section Vaginal birth after caesarean section Where to get help.

Reasons for a planned caesarean section There are several reasons why you and your obstetrician may decide on a planned elective caesarean birth.

These include: You have previously had a caesarean section. Your cervix opening to the womb is blocked by the placenta this is known as placenta previa. Your baby is lying sideways transverse and is not able to be turned by the doctor. You have a twin pregnancy, with your first baby positioned bottom or feet first. You are having three or more babies.

Your labour does not progress — your contractions are not strong enough and your cervix opens too slowly or not at all. Your baby shows signs of distress or their health is being compromised. The umbilical cord, which provides important nutrients and oxygenated blood to your baby, has fallen down prolapsed through the cervix and into the vagina after your waters have broken.

A health problem, such as high blood pressure, is making labour riskier for you and your baby. Anaesthetic for a caesarean section There are three types of anaesthetic you may be given so that you do not feel any pain during your operation: They include: spinal anaesthetic — the most common anaesthetic for a planned caesarean.

A needle will be inserted between the bones in your spine and local anaesthetic will be injected though the needle. This will block the pain from your chest downwards. You will be awake and able to breathe normally. As your baby is being born, you may feel tugging and pulling sensations, but no pain epidural anaesthetic — often used to lessen the pain of labour. If you have already been given an epidural during labour, and it is working well, the epidural can be topped up for an emergency caesarean.

The epidural is a plastic tube that will be inserted into a space around the lining of your spine. Local anaesthetic will be injected through the tube, which will block any pain sensation from your waist down.

As your baby is being born, you may feel tugging and pulling sensations, but no pain a general anaesthetic may also be given if your baby needs to be born very quickly. You will breathe oxygen through a mask and you will be given medicine through a drip, which will make you drowsy and put you to sleep. Types of caesarean sections Caesarean sections differ in terms of where the cuts incisions are made to the uterus. The two types of cuts that can be used when you have a caesarean section are: a lower segment incision — will be used wherever possible.

These cuts heal better, are less visible and are less likely to cause problems in future pregnancies. The cut on the abdomen may be horizontal or vertical. This type of incision is usually only used for extreme emergencies or in specific situations, such as if the placenta is lying very low, if your baby is lying sideways or if your baby is very small.

It can increase the chance of having problems in later pregnancies and births. Preparing for a caesarean section To prepare for your caesarean section: You will need to fast. Get Your Flu Shot! Family Health Line. What is WIC? Minority Health and Health Equity.

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