Originally Posted by sparklett
I am very interested in all of this!!!
But here's my question- how can I find out how uterine rupture rates compare with other risks associated with birth?? Like, for example, developing a complication from having a c-section? Statistically, is it safer to try the VBAC or go with the c-section? Does that make sense?
i've read quite a few papers on VBAC vs. ERCS. my conclusion, and the data that i'm basing my decision on, is that VBAC carries a higher chance of death and permanent injury for the baby, but is safer for mom (mom has 2 to 3 times the chance of dying from c/s, though overall is still 10 times less likely to die than baby).
the risk of the baby dying or being permanently injured due to VBAC is approx. 1 per 1,000. assuming all of the best circumstances (good incision, 24+ mos between births, etc). if it's a first vaginal delivery, that means the baby has a risk of about 2 in 1,000 of dying, maybe 3. it's really hard to add in the severe injury risk (brain damage, etc, because i don't often see it quantified). the risk of the baby dying due to c/s is lower, probably about 0.5 in 1,000.
all this said, i'm planning to VBAC. i'm doing it at a great hospital that can have the baby out in 10 minutes or less, no matter what time of day. if i reach 40 or 41 weeks without labor or imminent labor, i'll c/s.
anyway, it's hard. like i said, these are the numbers i trust. i've seen a whole range, though...