Vaginal Birth After Cesarean Delivery (cont.)
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Types of Uterine Incisions
For women who have had cesarean deliveries, a vaginal delivery in later pregnancies is often possible, depending on the type of incision that was made and the reason for the cesarean delivery. That is why it is so important for the doctor to have the medical records relating to the previous cesarean delivery. Hysterotomy is the medical term for incision of the uterus.
There are three types of uterine incisions.
The direction of the first incision on the skin (up and down or side to side) does not necessarily match the direction of the incision made in the uterus.
A vertical incision on the uterus may be used for delivering preterm babies, babies with abnormally positioned placentas, pregnancies with more than one fetus, and in extreme emergencies. These incisions are considered an outright indication for a repeat cesarean delivery.
Medically Reviewed by a Doctor on 9/15/2014
Harish M Sehdev, MD
Bryan D Cowan, MD
Mary L Windle, PharmD
Lee P Shulman, MD
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