There should be no automatic repeat Caesarean sections. In every case the need for this type of delivery should be assessed individually and in relation to the particular baby. The chances of having a vaginal birth following a Caesarean birth are good, although it will usually be described as a ‘trial’ of labor.
Such a birth is normally expected to take place in a consultant unit with facilities available for an emergency Caesarean section if necessary; this is because of the fear that your uterine scar may not stand up to the pressure of labor, and separate or rupture as a consequence. This happens only rarely — once in every 500 cases where the incision is of the lower-segment ‘bikini line’ kind. It is more common, 1-3 per cent, with classical up-and-down scar...
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