References in periodicals archive ?
The VBAC rate decreased, and the cesarean-section rate increased.
The increase in primary C-sections and decrease in VBACs continue a trend established in the mid-1990s, the report noted.
The latest guidelines from the National Institute of Clinical Excellence say that women wanting a VBAC should be informed that the risk of uterine rupture and infant death is higher with a vaginal delivery than with a planned repeat section.
Most hospitals in the United States can't meet those requirements and that had a chilling effect on VBAC, Frigoletto said.
After reaching its peak in 1996, the VBAC rate has tumbled 72 percent and is seen as the primary reason for the upswing in Caesarean-section births.
Another major non-medical factor in the increasing Cesarean rate and the declining VBAC rate is high patient expectations in conjunction with increasing legal obligations that require physicians to document informed decision-making by their patients.
When the NIH consensus development panel reviewed VBAC in 2010, it concluded that TOLAC is a reasonable option for many women with a prior cesarean.
Continuous electronic monitoring is recommended if you're given oxytocin to strengthen labor, had an epidural, or are attempting VBAC.
Many specialist roles support our service, such as midwifery leads for VBAC, child protection, breast feeding and bereavement.
Since 1996, however, VBAC rates in the United States have consistently declined, while cesarean delivery rates have been steadily rising.
Below is the testimony of a woman whose successful VBAC, encouraged and supported by her doula, LaNette McQuitty, inspired her to write a powerful letter of thanks to LaNette:
To evaluate the degree of implementation of VBAC guidelines, a mail survey of 159 members of the American College of Physician Executives was conducted.
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