Chapter 21: Nursing Management of Labor and Birth at Risk 1. Laura is a 26-year-

Question

Chapter 21: Nursing Management of Labor and Birth at Risk

1. Laura is a 26-year-old G2P1 who had a caesarean delivery for fetal distress with her first pregnancy. Laura is now struggling with deciding between a repeat caesarean delivery or attempting a VBAC. (Learning Objective 9)

A.    In order to ensure that Laura has the facts to assist her in her decision, explain the risks of a repeat caesarean delivery.

B.    Laura can’t understand why more women don’t want to try a VBAC delivery. Discuss the possible reasons for this.

C.    Describe the management of care for a woman attempting a VBAC delivery.

Explanation / Answer

There is always risk in a repeat caesarean delivery as it may cause many of the problems. Caesarean delivery is fine for the first time but for second or many more repeated times it's just have major risk such as uterus infection, blood clotting, surgical injuries, increased risk for further pregnancy and delivery etc.

VBAC is better than caesarean only if there is a healthy pregnancy, but there are many risk in this. VBAC delivery causes lots of pain during delivery, sometimes many women can't bear the labour pain. In this abnormal bleeding occurs, some times the pain is so much high that women could not bear and die. The maine reason is the unbearable pain which women don't want to take any kind of risk.

But normal delivery is considered to be safest as it reduces risk of any other complications, it has to be managed very carefully. All the procedures should be told to the woman who wants to go VBAC delivery. Encouraging the woman for better aspects of this delivery may give strength to her.

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