Induction of labor for vaginal birth after cesarean
Vaginal birth after cesarean
. Clin Obstet Gynecol 1998; 41:369-81
At least one study suggests that the risk of uterine rupture during vaginal birth after cesarean
is acceptably low when the type of hysterotomy is unknown.
Since the movement toward vaginal birth after cesarean
(VBAC) began and more women have undergone a trial of labor, many centers report that their rates of uterine rupture have doubled and in some cases even tripled.
Gary Cunningham, chairman of the panel, said that it was their hope that publishing the available data would prompt greater interest in the decline in vaginal births and lead to more research into the critical areas outlined in the consensus statement "Vaginal Birth After Cesarean
: New Insights."
Results of the national study of vaginal birth after cesarean
in birth centers.
So, yes, there were VBACs (vaginal birth after cesarean
) and borderline cases of PIH (pregnancy induced hypertension), or polyhydramnios, and there were lots of first-time moms; there was even one planned breech birth.
(5.) Up-to-date version 16.3, vaginal birth after cesarean
Changing policies on vaginal birth after cesarean
: impact on access.
Vaginal delivery after laparoscopic myomectomy can be accomplished safely without uterine rupture by using management protocols that are similar to those used for vaginal birth after cesarean
section, reported Jun Kumakiri, M.D., and his associates at Juntendo University, Tokyo.
A progressive increase in the rate of uterine rupture with increasing oxytocin dosage was observed in this retrospective study in women attempting vaginal birth after cesarean
delivery (VBAC), beginning at maximum dosages of 6-10 mU/min (adjusted odds ratio, 1.97) and greatest at the highest range studied, 21-30 mU/min (adjusted odds ratio, 2.98).
In the case of repeat elective cesarean deliveries, an estimated 400 of which are necessary to prevent one morbid event, the documentation of a slightly elevated rate of adverse events associated with vaginal birth after cesarean
section, such as uterine rupture, have led many ethicists and clinicians to conclude that the surgery is ethically justifiable.