I just read a blog where a woman, with a prior vaginal birth and two cesareans, was told that her risk of uterine rupture was 5%. She was also told that since her VBAC would be within one year of her cesarean, her rupture risk doubled to 10%. It just breaks my heart to read [...]
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When planning the size of your family, considering the implications of multiple cesareans versus multiple VBACs. As we know, the risks of cesareans goes up with each surgery, especially in terms of adhesions. But, as this study found “VBAC success increased with increasing number of prior VBACs” and “the rate of uterine rupture decreased after [...] We all know the primary risk of VBAC – uterine rupture. And when your typical VBACing mom meets with an OB, she must sign a “VBAC consent form” acknowledging that she understands this risk. However, I find it ironic that women signing up for a repeat cesarean are not required by their OB to sign [...] Often the difference between marketing and reality is huge. OBs tell you that you can have the birth you want… until you check into the hospital and learn “That’s not the way we do things.” As you stare at a poster entitled “Birthing Positions,” your L&D nurse insists that you stay in bed… and push [...] Here is a link to a great news article out of New Mexico on VBACs. It includes a fantastic video. Here are my two favorite quotes: "’Philosophically, it’s sort of practicing old fashioned medicine where we used to say once a Caesarean, always a Caesarean, and that has proven to be not the case,’ said [...] This is a chart from Dr. Marsden Wagner’s wonderful book, "Born in the USA." He includes quite a bit of information about VBAC and homebirth. I highly recommend every pregnant woman read it. Normal (unscarred) uterus: 1 in 33,000 births VBAC–no induction: 1 in 200 births VBAC–oxytocin (Pitocin) augmentation: 1 in 100 births VBAC–oxytocin induction: [...] Spong, C. Y., Landon, M. B., Gilbert, S., Rouse, D. J., Leveno, K. J., Varner, M. W., et al. (2007). Risk of uterine rupture and adverse perinatal outcome at term after cesarean delivery. Obstet Gynecol, 110(4), 801-807. Another study on uterine rupture and below is an excerpt from the abstract: RESULTS: A total of 39,117 [...] |
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