I was looking for the article I read it on the other day and couldn't find it. I really need to start bookmarking things. I'll have another hunt once LO is in bed as I think it also included some other factors that increased likilhood of UR...or decreased risk if you didn't have these factors depending on how you look at it.
Compared with women who delivered vaginally in their first birth, women who underwent a caesarean delivery were, during their second delivery, at increased risk of uterine rupture (adjusted OR 41.79; 95% CI 29.73-57.00). Induction of labour, high (> or = 4000 g) birthweight, postterm (> or = 42 weeks) births, high (> or = 35 years) maternal age, and short (< or = 164 cm) maternal stature were also associated with increased risk of uterine rupture. Uterine rupture was associated with a substantially increased risk in neonatal mortality (adjusted OR 65.62; 95% CI 32.60-132.08)
So in list form things that can increase UR chance:
Induction of labour
high (> or = 4000 g) birthweight
postterm (> or = 42 weeks) births
high (> or = 35 years) maternal age
short (< or = 164 cm) maternal stature
I like to look at it that not having these means I have a lower risk of UR. I'm declining induction, I'm 31, I'm 5'8" (which I don't know in cm but I believe is higher than 164cm). So the only added risk factors I could end up with (according to this study) are post term and high birth weight.
Its not the pain I'm scared of....I was handling my labour just fine even with out g&a last time. For me its the fear if something goes wrong and I don't have an epi fitted then I will most probably have to go under ga for a section.
I had an EMSC without an pre-pain relief, and had a spinal. It was less than 30mins from being told I needed it and being cut open... So dont worry about that!
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