Comments on: Uterine rupture risk drops significantly after first VBAC

By: Jen Kamel

Jen Kamel — Sun, 16 Jan 2011 00:49:41 +0000

Angela,

I am so sorry about your uterine rupture!

The Mercer 2008 study does provide rupture rates for spontaneous and induced labors in the body of the study.

Here is what they found.

Of the 9,012 women who did not have a prior successful VBAC: 0.87% spontaneous labors ruptured vs. 1.37% induced labors.

Of the 2,900 women with one prior successful VBAC: 0.45% spontaneous labors ruptured vs. 0.37% induced labors.

Of the 1,620 women with two or more successful VBACs: 0.43% spontaneous labors ruptured vs. 0.63% induced labors.

Note that populations of less than 5,000 women do not measure the rate of uterine rupture as accurately as populations greater than 5,000, but this is the best study to date regarding rupture rates after successful VBACs.

Warmly,

Jen

By: Angela Healy

Angela Healy — Tue, 09 Nov 2010 20:34:19 +0000

I would be interested if these successful VBAC’s were induced or not. I had a successful VBAC after being induced at 41 weeks, got pregnant 12 months later, was induced at 41 weeks again, and had a complete uterine rupture up my left side. The doctors only gave me petocin for 3 hrs then discontinued it as my contractions had become too intense too early. For the following 14 hours my labor progressed nicely on it’s own. I ruptured when I was about 7 cm.

By: facts on vbacs « Elan Doula

facts on vbacs « Elan Doula — Wed, 04 Nov 2009 09:18:31 +0000

[...] Additionally, the risk of complications increase with each RCS including your risk of UR in future pregnancies, whereas the risk of UR decreases by 50% after your first VBAC. (Mercer 2008) [...]

By: Joanna

Joanna — Mon, 13 Jul 2009 17:38:15 +0000

After having an emergency CS for a breech baby with my second, I have had three VBACs in the last 4 years. It’s been difficult to find docs that will allow me a VBAC but the group I’m with now is really anxious to not put me under the knife. With all three VBACs I’ve been given Pitocin and my last was an official induction as I was not in active labor by my due date.

By: Бързи факти – VBAC vs. ресекцио « Zozima’s Blog

Бързи факти – VBAC vs. ресекцио « Zozima’s Blog — Tue, 09 Jun 2009 10:32:22 +0000

[...] Рискът от усложнения нараства с увеличаване на броя на цезаровите сечения, както и рискът от руптура при следващи бременности, също така рискът от руптура намалява с 50% след първото VBAC. (Mercer 2008) [...]

By: maha

maha — Thu, 04 Dec 2008 00:44:45 +0000

It would be nice if the site shows doctor names who allow VBAC. My and alot of my friends are looking for ones in CA, but still no results.

This would be a great profit idea for the VBAC doctors.