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Re: VBAC dying art>From: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Tue Mar 31 08:19:49 2009
> >I feel that as long as several guidelines are adhered to: > >- avoid induction of labor (other than AROM in someone with a huge >Bishop score already contracting) >- avoid usage of prostaglandin agents >- limit use (and dosage) of oxytocin for augmentation to patients >already in true labor with a soft, nearly fully effaced cervix at least >3-4 cms >- avoid trial of labor with any prior vertical uterine incisions > >then VBACs are extremely safe and have a 80+% success rate. At least in >my 19 year experience. > >-- >Hugo D. Ribot Jr., M.D., FACOG >Cartersville, Georgia >Private practice since 1990 >2 MDs/3 CNMs/1 NP > Hugo, I agre with these guidlines and approach. But IMHO only 30-40 % of VBAC;s present this way, in the other 60-70% you find yourself on the silperry slope of induction/augmentation with oxytocin, ingnoring variable deccelations, post term, meconium......
--
Take care, John
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