Re: VBAC
From: art fougner, md (evsono@pipeline.com)
Mon Apr 11 05:41:24 2005
Once a vaginal delivery - not necessarily a vaginal delivery...
art
At Sun, 10 Apr 2005, R. Daniel Braun wrote:
>
>One of the problems with those statistics is that failed VBAC's that
>subsequently die are included in the cesarean group. So are women who
>labored for 36 hours and then had a cesarean and subsequently died. If
>one scrutinises the literature very carefully to only look at repeat
>C/S's prior to the onset of labor, there is little diference in the
>death rate between having a pre-labor C/S and going into labor.
>The above only aplies to the current delivery and does not take into
>account what happens with the next cesarean where there will be more
>adhesions and a higher incidence of Placenta Previa Accreta, It also
>does not take into account problems related to urinary and fecal
>incontinence following Vaginal delivery vs. C/S
>
>Dan
>
>On Apr 10, 2005 1:57 PM, Stmidwife@aol.com <Stmidwife@aol.com> wrote:
>>
>> The references I have which include ACOG and WHO recommendations state that
>> death rate amoung C/Sect pts is 4 in 10,000 while death rate amoung vaginal
>> births including VBACs is 1 in 10,000. Also have data from the most recent
>> VBAC study stating that rupture rate has proven a decrease down to under 1%
>> during birth without intervention. Dr. Marsden Wagner (WHO for 15 years, 45
>> countries, maternity and 112 published papers.)spoke at my birth center here
>> in California last week and left pages of references which I can post if
>> anyone is intereted.
>>
>> Sue
>>
>> In a message dated 4/10/05 6:15:21 A.M. Mountain Daylight Time,
>> ob-gyn-l@obgyn.net writes:
>> References?
>>
>--
>R. Daniel Braun
> Kinky for Governor
>
--
art fougner, md
"If you don't know where you are going, you will wind up somewhere else."
Lawrence Peter Berra
