HELSINKI, FINLAND--A woman is much more likely to be fearful of vaginal delivery during her second pregnancy if an emergency procedure is necessary during her first childbirth experience, report Finnish researchers. According to Dr. Terhi Saisto and associates, of Helsinki University Central Hospital, doctors and other professionals should prepare first-time pregnant women for the possibility of cesarean section or vacuum extraction, in which a suction device is used to assist delivery. After a woman undergoes one of those procedures, she should be counseled regularly, Saisto and colleagues recommend, so that she can raise questions and concerns and discuss whether any subsequent children could be delivered vaginally.