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From @acog_org: VBAC is associated with several potential health advantages for women. For example, women who achieve VBAC avoid major abdominal surgery and have lower rates of hemorrhage, thromboembolism, and infection, and a shorter recovery period than women who have an elective repeat cesarean delivery. For those considering future pregnancies, VBAC may decrease the risk of maternal consequences related to multiple cesarean deliveries (eg, hysterectomy, bowel or bladder injury, transfusion, infection, and abnormal placentation such as placenta previa and placenta accreta). Elective repeat cesarean delivery and TOLAC are associated with maternal and neonatal risk. The risks of either approach include maternal hemorrhage, infection, operative injury, thromboembolism, hysterectomy, and death. Most maternal morbidity related to TOLAC occurs when repeat cesarean delivery becomes necessary. VBAC is associated with fewer complications than elective repeat cesarean delivery, whereas a failed TOLAC is associated with more complications. The risk of maternal morbidity is integrally related to a woman’s probability of achieving VBAC. Uterine rupture or dehiscence associated with TOLAC results in the most significant increase in the likelihood of additional maternal and neonatal morbidity. A discussion of VBAC early in the prenatal care course, if possible, will allow the most time to consider options for TOLAC or elective repeat cesarean delivery. Many of the factors that are related to the chance of VBAC or uterine rupture are known early in pregnancy. Counseling should address the resources available to support the patient electing TOLAC at their intended delivery site and whether such resources match those recommended for caring for those electing TOLAC. *********************************** Check out these resources: 1. https://www.acog.org/womens-health/fa... 2. https://www.instagram.com/s/aGlnaGxpZ... 3. https://www.babiesafter35.com/search?... *********************************** Welcome to my channel and be sure to hit “subscribe”! I am a double board certified ObGyn and Maternal-Fetal Medicine specialist focusing on the care of people with maternal and/or fetal complications of pregnancy. I discuss hot topics related to fertility, pregnancy and the postpartum period, and do a little myth-busting and fact-checking to keep things real! Not only am I a doc, but I was also a patient who had infertility, a high-risk twin pregnancy and preterm delivery, and NICU stay at age 43 as a first-time mom--so I GET IT! Leave requests for new topics in comments! *********************************** Follow me on social media and elsewhere! Instagram: / babiesafter35 TikTok: https://www.tiktok.com/@tiktokbabydoc... Twitter: / babiesafter35 Podcast: https://podcasts.apple.com/us/podcast... Email: [email protected] *********************************** DISCLAIMER: This channel is provided for educational and informational purposes only and does not constitute providing medical advice. The information provided should not be used for diagnosing or treating a health problem or disease, and those seeking personal medical advice should consult with their physician or other healthcare provider. Views expressed here do not represent the views of Dr. Clark's employer. #vbac #tolac #cesarean #cesareansection #cesareandelivery