Dr. Alpana Gupta Khare

Planning Birth After A Previous Cesarean Delivery:  It is important to have a discussion with your obstetrician about your chances of having a vaginal birth after a previous cesarean section. The success rates of vaginal birth post a cesarean delivery are between 60-80%, with women who have had a prior vaginal delivery having the highest rates of success (85-90%). The incidence of cesarean scar rupture is as low as 0.5% during a subsequent vaginal birth. Higher Rates Of Scar Rupture: 1. Women who have conceived within a short span of time post cesarean birth 2. Older women (>40years) 3. Obesity 4. Women carrying a heavy baby 5. Pregnancy that has continued beyond the due dates 6. Thin scar on ultrasound 7. Induction of labour: Women who go into labour spontaneously have a lower chance of scar rupture and better success at vaginal birth as opposed to women in whom labour is induced or augmented 8. Previous uterine surgeries 9. Extension of uterine incision in the previous