Research on rupture after a successful VBAC?

[babycatcher12]

Does anyone have links for research on the chances of rupture after having a successful VBAC? I am planning my second VBAC in May. I'm not really worried about it, but I'd like to have some research to discuss with doubting family. ;)

All of the research I've found is the "risk" for your first VBAC, but not after you've successfully carried a pregnancy and had a VBAC. 

Thoughts?

[Lisa1970]

I think the risk is going to still be extremely low. I was headed for rupture after 3 vbacs. But...the only person I know who ever lost a baby from a rupture never had a csect. 

[babycatcher12]

I think the risk is going to be low too, but was hoping to find some research that I could have in my back pocket. ;)

[seili]

 The risk is thought to be less if you have had a previous vaginal birth or VBAC. From the NHI VBAC statement:

"A prior history of vaginal delivery, either before or after a prior cesarean delivery, is consistently associated with an increased likelihood of VBAC. For example, in one retrospective cohort study, the vaginal birth rate after trial of labor was 63 percent in women with no prior vaginal delivery, 83 percent in women with a prior vaginal delivery before cesarean delivery, and 94 percent in women with a prior VBAC. The rate of VBAC increases with each prior VBAC. Nonrecurring indications for cesarean delivery are also associated with a higher rate of VBAC. For example, compared to arrest of labor, prior cesarean delivery for malpresentation is associated with a higher rate of VBAC. Women who previously delivered babies weighing less than 4,000 grams are more likely to have a VBAC than are those who delivered heavier babies."

http://consensus.nih.gov/2010/vbacstatement.htm

[seili]

Here's another short section from that statement:


"

Factors That Decrease the Risk of Uterine Rupture

A prior vaginal birth (before or after the previous cesarean delivery) decreases the risk of uterine rupture to approximately 600 per 100,000."

[babycatcher12]

Thanks!

[cagnew]

I know several women who have had 5+ VBAC's with trouble at all. Very reassuring because we hope to have a big family!