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OB: Battle Lines Drawn Over C-SectionsFrom: art fougner, md (evsono@pipeline.com)Sat Aug 27 21:03:21 2005
Battle Lines Drawn Over C-Sections By Rita Rubin, USA TODAY (Aug. 24) -- For some women, birth has become the latest battleground for reproductive rights. At a growing number of hospitals, women are being forced to schedule a repeat cesarean section just because they already had one. Doctors and hospitals say they fear lawsuits if they allow a patient to attempt a vaginal birth after a C-section - called a VBAC - and something goes awry. "We think the risk is more of a legal risk than a medical risk," acknowledges Bob Wentz, CEO of California's Oroville Hospital, which banned VBACs two years ago. As the overall C-section rate in the USA continues to climb, so will the proportion of pregnant women who have already had one. C-sections hit an all-time high of 27.6% in 2003, the most recent year for which information is available. Though VBACs practically were unheard of before the 1980s, the overall C-section rate was so low that relatively few women cared. But today, some pregnant women regard VBAC bans as an intolerable attack on personal autonomy. They view VBACs' risks - mainly, the chance that the uterine scar from their previous C-section will tear - as a reasonable trade-off for the chance to experience a vaginal birth and avoid abdominal surgery, which carries its own risks. "My uterus, my choice," read one placard at a rally in late July at St. Joseph Medical Center in Tacoma, Wash. On Aug. 1, the hospital began requiring that all pregnant women who had had a C-section schedule a repeat cesarean for their next delivery. More... http://aolsvc.news.aol.com/news/article.adp?id=20050824072109990010 Art
-- art fougner, md
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