Study: VBAmC - Mothering Forums

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Old 06-30-2006, 05:24 PM - Thread Starter
 
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Please pass this along to your lists. Baybee
Here is the summary from Kaisernetwork.org
http://www.kaisernetwork.org/daily_r...fm?DR_ID=38234

Pregnancy & Childbirth | Vaginal Birth After Multiple C-Sections Safe,
Study Says
[Jun 30, 2006]

Women who previously have undergone multiple caesarean sections
are no more likely to experience a uterine rupture, a tear in the
uterus, during vaginal delivery than women who previously have
undergone one c-section, according to a study published in the journal
Obstetrics & Gynecology, USA Today reports. Mark Landon, an ob-gyn
professor at Ohio State University, and colleagues studied 17,890
women who previously had c-sections and who between 1999-2002
delivered at one of 19 U.S. medical centers. The study finds that
ruptures occurred in 0.9% of women who had undergone multiple
c-sections and attempted a vaginal birth and 0.7% of women who had
undergone one prior c-section and attempted a vaginal birth.
Researchers found that women who previously had undergone multiple
c-sections were more likely to require a blood transfusion or a
hysterectomy if they attempted vaginal birth than women who previously
had one c-section. Of the women who had undergone multiple c-sections,
3.2% required a blood transfusion and 0.6% required hysterectomy after
attempting vaginal birth, according to the study. Landon said, "I
think most practitioners have with time shied away from offering
[vaginal birth after c-section delivery] to women with multiple prior
[c-sections] because of a perceived risk of uterine rupture," adding
that if women who have undergone multiple c-sections do have an
increased risk, it is extremely small. Gary Hankins, chair of the
American College of Obstetricians and Gynecologists' obstetrics
practice committee, said that he thinks that ACOG likely will revise
its VBAC recommendations for women who previously have undergone
multiple c-sections (Rubin, USA Today, 6/30).


There is also a story in USA Today:
http://www.usatoday.com/news/health/...-29-vbac_x.htm
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Old 06-30-2006, 06:41 PM
 
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Interesting study, thanks!

I don't see that it would matter to a care provider who already doesn't allow them, though. Unfortunate.
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Old 07-07-2006, 06:34 PM
 
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sorry to bump this back up I just wanted to say Thanks! I was looking for this.
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Old 07-08-2006, 05:09 PM
 
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I wonder what the real numbers of women involved are. The entire study was about 18,000 but how many were VBA2+C?

While I appreciate the work of Landon, there have been other studies with large samples that show an increased incidence of rupture.
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