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Created on : 01 Feb 2006
Modified on : 01 Dec 2007

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Bibliographical entry (without author) :

Point/Counterpoint: I. VBAC: Where have wee been and where are we going?. OGS, 53, p.661

Author(s) :

Flamm

Year of publication :

1998

URL(s) :

Résumé (français)  :

Abstract (English)  :

Editorial/Debate with Jeffery Phelan. Good news/bad news. Uterine rupture occurs in 1% of the cases. The good news is that 99% will remain intact and the majority of pts who attempt VBAC will deliver vaginally with no major problems. The bad news is that if the uterus does rupture there can be catastrophic medical and medico-legal consequences. Advocates a "more balanced" VBAC consent form. Before we give up on VBAC we need to remember that doing so would require an additional 112,000 cesareans next year. Because repeat CS are often more difficult we may see a corresponding inc in operative complication rates. Worst of all, it could also result in an increase in maternal deaths. Advocates not abandoning VBAC but making them safer by being ready to move very quickly when a uterine rupture does occur. A prolonged deceleration is often the first signal of uterine rupture. Perhaps it is time to ponder new guidelines for staffing and response times when a VBAC patient is in labor.

Sumário (português)  :

Resumen (español)  :

Comments :

Fiche importée de http://www.worldserver.com/turk/birthing/rrvbac2000-4.html avec l’aide de Ken Turkowski, septembre 2005

Argument (français) :

Argument (English):

Argumento (português):

Argumento (español):

Keywords :

➡ vaginal birth after caesarean ; c-section/caesarean

Author of this record :

Ken Turkowski — 01 Feb 2006