Consenting- ELCS vs planned vaginal birth Flashcards
(12 cards)
From the consent guideline for planned ELCS: What is the risk of perineal tears (3rd or 4th degree) in planned vaginal birth
560 per 100,000 vaginal births; aka 1 in 179; higher for assisted vaginal birth
Risk of urinary incontinence
occurring more than 1 year after birth for planned caesarean birth vs planned vaginal birth
ELCS= 7300-19,600 per 100,000 - about 1 in 5-14; planned vaginal birth= 19,800 per 100,000 - about 1 in 5 for assisted; 48,700 per 100,000 about 1 in 2 for unassisted vaginal birth
ELCS vs planned VB: Faecal incontinence
occurring more than 1 year
after birth
ELCS: 7800 per 100,000 about 1 in 13
Planned VB: 15100 per 100,000 for assisted (1 in 7); no difference in unassisted
ELCS vs Planned VB- risk of urinary tract injury
1 in 1000 for ELCS, no data for VB
ELCS vs VBAC: Wound infection, which
may require readmission to hospital for treatment
ELCS: 2–7 per 100 (about 1 in 14–50) ;
Planned VB: variable- less than 1 per 100
to 13 per 100, but there is less likelihood of
readmission being required
VB vs ELCS: risk of uterine rupture in future
pregnancy or birth
ELCS: 200 per 100,000 (1 in 500) vs
VB: 7 in 100,000 (1 in 14000)
VB vs ELCS: risk of emergency hysterectomy
ELCS : 1 in 500 or 200 per 100,000;
VB: 1 in 1000 or 100 per 100,000
Placenta accreta spectrum
(abnormally adherent
or invasive afterbirth) in
future pregnancy
ELCS: 100 per 100,000 (1 in 1000)
VB: 34 in 100,000 (1 in 2900)
Maternal death
ELCS: 25 per 100,000 (1 in 4000)
VB: 4 per 100,000 (1 in 25000)
Skin lacerations/cuts to baby
ELCS: 1- 2 per 100 vs
up to 10 per 100 with assisted VB, unlikely with unassisted
Asthma
ELCS: 1 in 55 or 1809 per 100,000
VB: 1 in 67 or 1500 per 100,000
Higher neonatal mortality
(death of babies within
28 days of birth)
ELCS: 58 per 100 000 (about 1 in 1700)
VB: 30 per 100 000 ( 1 in 3300)
