VBAC Safety: A Closer Look at the 2002 JAMA Study

What You Need to Know:
1.
Most women can birth vaginally after a cesarean.
2.
With proper care, VBAC is equally safe for the baby and safer for the mother.
3.
Inappropriate obstetric management contributes to some perinatal deaths.
4.
Cesarean section, especially multiple cesarean sections, increases risk to mothers and babies.

References

  1. ACOG. Vaginal birth after previous cesarean delivery. ACOG Practice Bulletin 1999, No.5.
  2. Baskett TF and Kieser KE. A 10-year population-based study of uterine rupture. Obstet Gynecol 2001;97(4 Suppl 1):S69.
  3. Blanchette H et al. Is vaginal birth after cesarean safe? Experience at a community hospital. Am J Obstet Gynecol 2001;184(7):1478-84.
  4. Enkin M et al. A Guide to Effective Care in Pregnancy and Childbirth. 3d ed. Oxford: Oxford University Press, 2000.
  5. Goer H. Cytotec: Safe for inducing labor?
  6. Goer H. Is vaginal birth after cesarean risky?
  7. Goer H. The case against elective cesarean. J Perinat Neonat Nurs 2001;15(3):23-28.
  8. Lydon-Rochelle M et al. Risk of uterine rupture during labor among women with a prior cesarean delivery. N Engl J Med 2001;345(1):3-8.
  9. Olney RS et al. Chorionic villus sampling and amniocentesis: recommendations for prenatal counseling. MMWR 1995;44(RR-9):1-12.
  10. Phelan JP. Rendering unto Caesar cesarean decisions. OBG Management 1996; Nov:6.
  11. Rageth JC, Juzi C, and Grossenbacher H. Delivery after previous cesarean: a risk evaluation. Swiss Working Group of Obstetric and Gynecologic Institutions. Obstet Gynecol 1999;93(3):332-7.
  12. Ravasia DJ, Wood SL, and Pollard JK. Uterine rupture during induced trial of labor among women with previous cesarean delivery. Am J Obstet Gynecol 2000;183:1176-9.
  13. Sims EJ, Newman RB, and Hulsey TC. Vaginal birth after cesarean: to induce or not to induce. Am J Obstet Gynecol 2001;184(6):1122-4.
  14. Smith GCS et al. Risk of perinatal death associated with labor after previous cesarean delivery in uncomplicated term pregnancies. JAMA 2002;287(20):2684-2690.
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