- Chambers & Associates OBGYN and Gynecological Surgery, PLLC encourages all women to seek early prenatal care to ensure a positive outcome for their pregnancies.
- We have years of experience at managing both low and high risk pregnancies. In fact, we co-manage some high risk pregnancies with the best maternal fetal medicine specialists (perinatologists) in Las Vegas.
- Dr. Chambers appreciates that women, in general, want to feel and look beautiful. He has perfected a safe surgical technique in which the incision for a primary cesarean section is hidden below the pubic hair line (instead of the traditional location above the hair line). When a repeat cesarean section is indicated, the old scar is always removed. Almost all incisions are closed with absorbable sutures, not staples.
VBAC (Vaginal Birth After Cesarean Section)
We provide VBAC (Vaginal Birth After Cesarean Section) services. Before undertaking a VBAC, patients should be fully informed. In general, 70% of women who undergo a VBAC will have a successful vaginal delivery. The benefits of a successful VBAC include decreased blood loss, decreased post delivery complications and a shorter recuperation period. But,VBAC has significant maternal as well as fetal risks. Therefore, in order to be safe and to ensure an excellent perinatal outcome, the VBAC patient must be carefully chosen. The strict requirements to undergo a VBAC through Chambers & Associates OBGYN and Gynecological Surgery, PLLC include:
- The patient must have had only one prior Cesarean section.
- The patient must have the contact information for her prior obstetrician and/or hospital of delivery so that the operative report may be obtained to review the type of surgical incision that was made on the uterus.
- A low transverse incision (the preferred incision for a VBAC) made in the lower uterine segment has a rupture rate of 0.2% to 1.5%.
- A classical incision or vertical incision that enters the fundus or contractile portion of the uterus has a rupture rate of 4% to 12%. Patients with this type of incision should never attempt a VBAC.
- An inverted T-shaped or J-shaped incision that enters the fundus or contractile portion of the uterus has a rupture rate of 4% to 9%. Patients with these types of incision should never attempt a VBAC.
- The exact frequency of death or permanent neurologic injury to the baby when the uterus ruptures is uncertain, but has been reported to be as high as 50%.
- The patient must not have had a previous myomectomy (fibroid removal) or any surgery involving the fundus of the uterus given risk of uterine rupture.
- The patient must have had a previous vaginal delivery.
- The baby must be vertex or cephalic, that is, “head down” at time of delivery.
- The patient must agree to have an epidural regional block.
- If the uterus ruptures during a VBAC, there may not be sufficient time to operate and prevent death or permanent brain injury to one’s baby. An epidural is needed because if an emergent repeat Cesarean section is necessary, precious time will not be lost while trying to induce general anesthesia.
- The patient must agree to deliver at St. Rose Dominican Hospitals San Martin Campus located at 8280 W. Warm Springs Road, Las Vegas, Nevada 89113.
- Please call (702) 463-0800 to schedule an appointment only if you can agree with our basic VBAC terms listed above.