Re: VBAC

From: Paul Prior MD (pprior@clover.net)
Sat Oct 28 17:55:10 2000


On Sat, 28 Oct 2000 13:18:32 -0500, "Alana A. Millman" <midwife2be@lvcm.com> wrote:

>Since I have begun my "hands on" work under supervision and I am just now
>forming plans for my future independent practice (and may or may not choose
>to practice differently than my preceptor), would you care to elaborate on
>VBAC not being low risk? What risk factors are you evaluating? Uterine
>rupture? How much do you think the time difference is between our ability
>to get a woman to a hospital operatory (when we phone ahead) and our local
>hospital ability to get a woman to an urgent c/s?
>
>I don't really want to argue.
>If you feel you have some information that may cause me to change my views
>please pass it along, but I don't want to play a numbers game. I find a
>0.03% to 1% risk of uterine rupture to be a reasonable risk and I would not

Not to be flippant, but Alana have you ever seen a uterine rupture? You ever seen a baby come out with no heartbeat? Any midwifery program that allows graduates to complete their training thinking that VBACs are low risk in ANY situation should be shut down, IMO.

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