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If you are planning to have only one child, then if you are planning to have more than one, you will not care how you will bring them to life. Today, one third of mothers give birth to cups, as the numbers show.Here you will find a summary of the natural birth chances of cesarean section and the aspects of the decision.
The rate of postpartum vaginal delivery should be at least 60 percent, and in the future at least 75 percent - this is in the 10 important steps of the Maternal Childbirth Initiative.
We're very far from it!
Although there are domestic births where these ratios are realized, many mothers are confronted with the fact that if their previous predicament ends up with a cesarean, then there is no chance of success.
What does it depend on, how does the mother give birth?
In January, American researchers reported an interesting result from a study that analyzed data from eight birth centers between 1999 and 2002: the attitudes of the mother and the doctor are likely to influence cervical birth after cesarean (VBAC) esйlyйt. Although they analyzed data from a dozen years ago, it was not possible or possible to reintroduce about 10,000 women into a very large geographic study. However, this gives the strength of the results, which confirmed the conclusions of several smaller research-like studies (some of them have Hungarian implications as well).
In the United States, the VBAC rate has increased since the '80s, and in 1996, previous cesarean delivery mothers had a 28.3 percent birth rate. From this point on, however, this number began to decline. In their previous work, Grobman and his authors have found that the success of VBAC can be a good predictor of a mother's age, ethnicity, body index, date and time of her previous birth, and the time of birth. Examined data from pregnant women (at least 37 weeks pregnant with non-twin fetuses and those who underwent lower cervical incision) concluded that they did not fall in 1999 increased small in age - overall, the success of the butterfly test (making it possible to start and deliver a baby at birth) was estimated to be 68 times.
A much more significant change, however, is that all women have been estimated to have the success of the defection effort, obviously not all mothers chose to have butterand the VBAC-to-live ratio decreased from 68.4 percent to 41.9 percent. This may be due to a change in the hospital's birth protocol and maternal and medical representations of VBAC. The outcome of the choice of butter choice confirmed the researchers' previous risk assessment, and overall the VBAC ratio over the 4-year period was 71-76.
According to these data, the decrease in VBAC rate in the United States is not explained by the reduced ability of the vagina to give birth, but rather the reduced propensity to VBAC deficiency.
This was the conclusion of a small 2006 New York study.
Another researcher in New York also took part in a Hungarian researcher who pointed out in his doctoral dissertation that the number of VBACs that is, to pre-empt high-risk mothers), to provide complete information, and to provide adequate parenting information.
There is no reason why everyone should have a vaginal delivery after a cesarean section, or not anybody. However, evidence-based medicine allows both the mother and the attending physician to make the best decision for the new woman and child in the given situation.
Grobman et al. (2011): The change in the rate of vaginal birth after cesarean section. Pediatric and Perinatal Epidemiology, Vol. 25, Issue 1, pp.37-43. January 2011.