PREGNANCY-BIRTH Messages for May, 2001: Re: vbac success rate and uterine rupture

Re: vbac success rate and uterine rupture

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Thu, 31 May 2001 22:04:55 -0500 (CDT)

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In reply to: R.: "vbac success rate and uterine rupture"

At Thu, 31 May 2001, R. wrote: >
>I had previously requested information on the statistics of a successful
>VBAC...
>
>Subject: Re: vbac success rate and uterine rupture
>Date: Sat, 26 May 2001 13:58:02 -0500
>if the scar is low transverse, the rupture rate is 1%, regardless of how
>many successful VBACs you have had. If the scar is vertical the rupture
>rate is as high as 4-9%. If it is T shaped it is 4 - 9%. If the scar is
>unknown, we assume the worst
>
>M. Kelly Shanahan, MD, FACOG
>South Lake Tahoe, CA

Dr. Shanahan is very corect as well as being smart and good looking.

>
>I have already spoken to my OB a couple of weeks ago and told him of my
>intentions of going through with a trial of labor even though we do not know
>what the scar is. He said that he would work with me and when I go into
>labor, as a precaution would use a pressure catheter and start pitocin.
>>From what I could find at JAMA, there is an increase in uterine rupture with
>induction of labor.

Correct

My second daughter was a VBAC, with my water breaking >in the middle of the night and active labor starting about 0830 and
>delivered about 1230 without being induced (spontaneous delivery I believe I
>read on the forum before). At this point I am cautious of using the meds to
>help facilitate labor.
>
>I could only read excerpts in JAMA and would like to read more in depth on
>this subject. I would appreciate some help in locating this information.

Library at your nearest hospital or Medical School. Public Library might also have it.

>
>Thank You.

--
R. Daniel Braun, MD FACOG  FOG

This is for educational purposes only, and is not intended to be replacement or substitute for consultation and examination by an appropriate medical professional.  Due to time constraints, private e-mails cannot be answered.

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In reply to: R.: "vbac success rate and uterine rupture"

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