Editing Caesarean section (section)

====Subsequent pregnancies====
{{Further|Delivery after previous caesarean section}}
Women who have had a caesarean for any reason are somewhat less likely to become pregnant again as compared to women who have previously delivered only vaginally.<ref name="Gurol-UrganciBou-Antoun2013">{{cite journal | vauthors = Gurol-Urganci I, Bou-Antoun S, Lim CP, Cromwell DA, Mahmood TA, Templeton A, van der Meulen JH | title = Impact of Caesarean section on subsequent fertility: a systematic review and meta-analysis | journal = Human Reproduction | volume = 28 | issue = 7 | pages = 1943–1952 | date = July 2013 | pmid = 23644593 | doi = 10.1093/humrep/det130 | doi-access = free }}</ref>

Women who had just one previous caesarean section are more likely to have problems with their second birth.<ref name=ACOG2014/> [[Delivery after previous caesarean section]] is by either of two main options:<ref>{{Cite web |title=UpToDate |url=https://www.uptodate.com/contents/choosing-the-route-of-delivery-after-cesarean-birth |access-date=2024-02-10 |website=www.uptodate.com}}</ref>
* Vaginal birth after caesarean section (VBAC)
* [[Elective surgery|Elective]] repeat caesarean section (ERCS)

Both have higher risks than a vaginal birth with no previous caesarean section. A vaginal birth after caesarean section (VBAC) confers a higher risk of [[uterine rupture]] (5 per 1,000), blood transfusion or [[endometritis]] (10 per 1,000), and [[perinatal death]] of the child (0.25 per 1,000).<ref name=rcog2007>{{cite web |url=https://www.rcog.org.uk/globalassets/documents/guidelines/gtg4511022011.pdf |title=Birth After Previous Caesarean Birth, Green-top Guideline No. 45 |date=February 2007 |publisher=Royal College of Obstetricians and Gynaecologists |url-status=dead |archive-url=https://web.archive.org/web/20141207031819/https://www.rcog.org.uk/globalassets/documents/guidelines/gtg4511022011.pdf |archive-date=7 December 2014  }}</ref> Furthermore, 20% to 40% of planned VBAC attempts end in caesarean section being needed, with greater risks of complications in an emergency repeat caesarean section than in an elective repeat caesarean section.<ref name="americanpregnancy"/><ref name="mayoclinic"/> On the other hand, VBAC confers less [[maternal morbidity]] and a decreased risk of complications in future pregnancies than elective repeat caesarean section.<ref name="American Congress of Obstetricians and 450–63">{{cite journal | vauthors =  | title = ACOG Practice bulletin no. 115: Vaginal birth after previous cesarean delivery | journal = Obstetrics and Gynecology | volume = 116 | issue = 2 Pt 1 | pages = 450–463 | date = August 2010 | pmid = 20664418 | doi = 10.1097/AOG.0b013e3181eeb251 }}</ref>