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Some things to think about

When "counseling" us on vbacs, OB's usually always reference to uterine rupture. But do they tell you that with 1 c section we have a .24% of developing accreta. Or a .57% chance after 3 c sections...or a 2.33% after 5 c sections. I'm guessing by the time one reaches 3+ sections, the vbac talk is non exsistent. When deciding between a vbac or rcs (repeat c section) we need to ask ourselves "will there be future pg(s)", "is there permanent birth control in place?" Keep in mind, yes there was a study done in this, 49% unplanned pregnancy rate! (Per CDC 2012, Guise 2012)

Women have a 6.4% chance of placenta previa after 1 c section according to a study done by Silver 2006. 

And if you have previa your chances dramatically increase for accreta. 3.3% (1 c/s), 11% (2 c/s), 40% (3 c/s) and levels off to 67% with 5 or more sections. 

Now if your chances for uterine rupture are .09% to 3.7% which carries a 5% maternal death rate, one would say heck ya sign me up for a section! But if you look at the risks another section carries with it then one may not be so quick to jump on the table. 1 and 533 woman will have accreta...7-10% of them will die. Period. When we talk about uterine rupture and 5% we are talking about 1000's of woman. 

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