Re: VBAC revisited

From: DoctorJoe@aol.com
Sun Jul 6 23:32:15 2003


In a message dated 7/6/03 23:14:25, ainsron@sbcglobal.net writes:

> Those were my residency days also, 1975-1979, and my experience was the
> same.  I remember my chief rushing some women into the OR when they were
> progressing rapidly and 8-9 cms, in order to "deliver them before their
> uterus ruptured.  Looks like we're going back to the good old days.  One
> of the papers I did in residency and presented at an ACOG Armed Forces
> District meeting was on "Once a C/S, always a C/S." Wish I still had it.
>

If you'll remember, one of the first (if not THE first) big VBAC study was done at USC (if memory serves . . . ) and it wasn't so much of a "study" as simply a collection of women who had precipitously delivered after prior C/S because the volume of deliveries was so high there, they didn't get to everyone fast enough and some delivered vaginally before they could be sections. So the authors collected these deliveries and demonstrated they were "safe." Obviously, it's a selected population. But the numbers were okay and the rest is history.

Joe P.





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