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VBACFrom: Henry Gregor (henrygregor@yahoo.com)Fri Jun 8 22:50:30 2007
". Although neither repeat >cesarean delivery nor a trial of labor is risk free, evidence from a >large multicenter study shows vaginal birth after the cesarean (VBAC) is >associated with shorter hospital stays, fewer postpartum blood >transfusions, and a decreased incidence of postpartum maternal fever. As noted, a fascinating study...however, I'd have suggested noting that VBAC is also associated with 17 cases of hypoxic ischemic encephalopathy to zero for repeat CS in that major trial....a small percent, which probably matters only if someone's working in the USA with its current tort system approach to adverse events. But, wasn't one of those cases a thirteen million dollar judgment, before appeal, in one of our state's? Would be nice if we had the medical equivalent of maritime law and courts, and I hope the current discussions happening grow into something achievable over the long term. ('course, we're all dead in the long term, :-) ) Hank --------------------------------- Got a little couch potato? --------------------------------- Check out fun summer activities for kids. -- ---------------------------------
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