Professor Teoh talks about whether after a c-section you subsequently always have to delivery by c-section.
Transcript (auto-generated)
This transcript was generated automatically and may contain errors.
Professor Teo, I was wondering if you've had a C-section in the past, do you definitely need to see the section for the for subsequent babies? No, obviously one has to look at the reason for the previous C-section. It could be that the C-section was done for a low lying placenta which obstructed labour and delivery the first time, it could be the baby was the wrong way around like a breech presentation or it was a very premature baby and so all these things that do not actually save a woman a second time round will definitely have a cystic insection because she has actually gone through the trial of labour. Obviously, one has to minimise the risk of trialling a vaginal birth after a cystic insection. It's a very small risk, 0.5% that during labour itself, the scar from the previous cystic insection could rupture rupture during labour. So as long as one actually monitors the labour with the test of fetal heart rate or any symptoms or signs from the mother, we can reduce that risk. Obviously, what happened in the last pregnancy, recombinating and cesarean section can also help determine the next time what happens. So if a woman was progressing very well in labour and dilating as close to 10 centimeters as possible, about a centimeter an hour. But during that time, there was fetal distress and compromise. Then the safest way to deliver the baby the last time was by an emergency section. My own statistics show that people like this will have almost a 90% chance of a successful rejuvenation the next time. Unfortunately, a woman who were induced or very slow progress in the last labor, culminating in CCA section this time round, the chance is about 50%. Thank you.
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