The Cesarean can be accomplished using classical incisions or transverse incisions. Today, the classical incision, sometimes called a vertical incision, is mostly reserved for emergency situations. Wash. A transverse, or horizontal, incision is most common. In addition to the type of incision, the type of labor may also affect the risk of rupture. Labor can be spontaneous, beginning on its own, or it can be induced with the help of drugs.
Some recent studies show uterine ruptures are less likely with spontaneous labor.
The Caregiver In the United States, most women use obstetricians for care during pregnancy, labor and delivery. According to Dr. Klein, current ACOG guidelines mandate that women attempting a vaginal birth after Cesarean have no more than two prior low-transverse Cesarean deliveries, have clinically adequate pelvises and have no other uterine scar or previous rupture. The guidelines also require the immediate presence of a physician who is able to monitor and perform an emergency Cesarean delivery. As a result, anesthesia must be available, along with the personnel to administer it. To some women's dismay, most doctors will not negotiate where these guidelines are concerned.