Re: VBAC

From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com)
Mon Oct 30 12:06:47 2000


It is also worth remembering that 50% of ruptures occur prior to the onset of labor...for what it is worth.

--
Richard Chudacoff, MD
Chudacoff Obstetrics & Gynecology, PLLC

15200 Southwest Freeway, #270 Sugar Land, TX 77478 Tel: 281-277-3900 Fax: 281-277-3901

rchudacoff@mylinuxisp.com Richard.Chudacoff@obgyn.net ********************************************************************** Neither the confidentiality nor the integrity of this message can be guaranteed following transmission on the Internet.

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-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Ina May Gaskin Sent: Sunday, October 29, 2000 4:54 PM To: Multiple recipients of list OB-GYN-L Subject: Re: VBAC

At Sat, 28 Oct 2000, art fougner, md wrote to Alana: >

certainly not questioning your zeal nor your enthusiasm, but perhaps the fact that trial of labor is also termed trial of SCAR should give you pause, especially in the city devoted to the odds, Las Vegas. as others have pointed out, labor for a woman with a scarred uterus presents an increased risk for uterine rupture. this increased risk changes the definition to high risk. >

It's worth remembering that women who have VBACs at home don't have their labors induced with synthetic oxytocins or prostaglandins (or electric breast pumps, for that matter). They also have continuous attendance during labor. It may not be generally recognized, but these factors do make a difference.

Ina May

Ina May Gaskin, CPM The Farm Midwifery Center 41 The Farm Summertown, TN 38483

E-mail: MidwifeIM@aol.com http://www.birthgazette.com





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