11.   Obese women are also more likely to require Caesarean sections, which have greater risks of postdelivery complications and longer recovery times than vaginal births.

12.   One widely recommended strategy is to encourage pregnant women who have had one or more C-section births to consider vaginal birth after Caesarean.

13.   She also says she was not fully informed of the risk in having a vaginal birth after she had had a Caesarean section for her first child.

14.   The absolute risk from subsequent vaginal births is, in fact, very low.

15.   The vaginal birth went smoothly.

16.   They note that the American College of Obstetricians and Gynecologists actively encourages vaginal births after Caesareans, albeit in hospitals.

17.   They expressed particular concern about pressures on doctors to encourage every woman who has had a previous Caesarean delivery to try a vaginal birth.

18.   But it appeared the blockage could simply be moved out of the way for a vaginal birth, Stevens said.

19.   He said doctors need to tell patients about the risk of uterine rupture so they can weigh the risks and the benefits of a vaginal birth.

20.   Mofenson noted that in regions of the world with less advanced medical conditions, the risks to the mother of Cesarean delivery can be much higher than vaginal birth.