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Re: VBACFrom: Anna Meenan, MD (annam@uic.edu)Fri Jan 14 23:54:02 2005
Ina May has reminded me that she has cared for several Amish grand multips who have had more than 12 VBAC's, and one who has had 17. This brings up a legitimate question and harkens back to the earlier VBAC discussion. If having huge families is an integral part of a woman's religion or culture, is it safer for her to have several VBAC's than to have that many c-secs? Of course, it's safer to avoid the first c-sec whenever possible (and Ina May does a good job of that, with a c-section rate that hovers around 2%), but once someone has had the first c-sec, where do you go from there if she fully intends to have 12 or more kids? Of course, at least in the Amish community, the fear of litigation doesn't usually enter the picture, so that's something.
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Anna Meenan, MD
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