Re: home birth after cesarean

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I read so much from so many different sources that I'm afraid I won't be able to do that. Best bet is go to the closest medical library and do a literture search.

>thanks,
>vicki
>
>At Mon, 3 Apr 2000, Harvey S. Marchbein, M.D. wrote:
>>
>>At Mon, 3 Apr 2000, Jessica wrote:
>>>
>>>At Mon, 3 Apr 2000, anonymous@obgyn.net wrote:
>>>
>>>>No it is not. I hate to sound so dogmatic, but VBAC have risks that are
>>>>substantially greater than a typical birth, and home birth very bad idea
>>>>in that circumstance.
>>>
>>>Several people have posted this, but I have not been able to find any
>>>evidence. For instance, I found that the vast majority of the time if a
>>>rupture was going to happen in a subsequent pregnancy, it would happen
>>>before labor actually started. Also, that rupture in a VBAC is usually
>>>much less serious that rupture in a first time mom. I'm not trying to
>>>be combatative, just looking for information.
>>>
>>>Can you tell me more about the risks of VBAC?
>>
>>What you say was more liekly when discussing a classical C/S where the
>>incision was vertical in the uterus. this is not so with the
>>Pfannenstiel incision (transvers - bikini). Please see the thread in
>>the Women's forum where this seems to have spilled over. there are pros
>>and cons to all points of view. It's just too hard to keep this thread
>>up on both forums and the Women's forum seems to be picking up and a,
>>shall we say, little more heated.
>>
>>The main risk of VBAC is rupture - reported as 1 in 200 to 1 in 400. the
>>risk of hysterectomy from an old study, I believe from Einstein (the
>>medical school, not the guy) was 1 in 37 ruptures underwent a
>>hysterectomy.
>>
>>--
>>Harvey S. Marchbein, M.D. FACOG, FACS
>>Great Neck, New York
>>
>>**Note: Opinions expressed here are for educational purposes only
>>and, as such, do not constitute a physician-patient relationship.
>>This information is not intended to supplant the need for you to
>>consult with your physician prior to choosing therapeutic options
>>and/or interventions.
>>
>>**Private emails cannot be entertained due to time constraints,
>>consequently no private emails will receive a response.
>>
>>**Thank you for your understanding ;-)
>>

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.

**Thank you for your understanding ;-)

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