Medicine an Surgery notes

Apr 24th, 2015
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TRIAL OF LABOUR AND TRIAL OFSCARBY GROUP 2 MEMBERSDEFINITION Trial of labour is conduction of spontaneouslabour with moderate degree of CPD. It isperformed under close observation by anobstetrician in order to assess a womanschances of successful vaginal delivery. Usuallynot advocated for prevable mode of deliveryof any form of CPD is CS.TRIAL OF SCAR Trial of scar is also known as trial of labourafter CS (TOLAC). Vaginal birth after CS (VBAC) is a successfultrial of labour resulting in a vaginal birth. A TOLAC may result in a successful VBAC orfailed trial of scar resulting in a repeat CS. According to the American PregnancyAssociation, 90% of women who haveundergone caesarean deliveries arecandidates for VBAC.Approximately 60-80% ofwomen opting for VBAC will successfully givebirth vaginally. This is in contrast to thecommon belief, once a cesarean, always acesarean.Benefits of VBAC Shorter length of hospital stay andpostpartum recovery (in most cases) Fewer complications, such as postpartumfever, wound or uterine infection,thromboembolism (blood clots in the leg orlung), need for blood transfusion Fewer neonatal breathing problemsRisks of VBAC Risk of failed trial of labor after cesarean (TOLAC)without a vaginal birth after cesarean (VBAC) resultingin repeat cesarean delivery (RCD) in about 20 to 40percent of women who attempt VBAC. Risk of rupture of uterus resulting in an emergencycesarean

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