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Re: C-Secton after 2 VBACS?From: M. Kelly Shanahan, MD, FACOG (anonymous@obgyn.net)Fri, 28 Jun 2002 23:45:47 -0500 (CDT)
At Fri, 28 Jun 2002, Cindy wrote: > >Currently I am 13 weeks pg and have had my regular checkups. Dr says >that change in protocol says that I can't be induced because of first >child C-Section. Reason for my being concerned is that with the last >two vanginal births,(the last one being 5 years ago)I had to use pitocin >to even get my labor to progress after days of labor on my own. Dr. >said that the reason being is chance of uterine rupture. >Is this right? I don't want to have another c-section as vb's are so >much easier even with the days of labor. >Any advice would be helpful. >Thanks , >Cindy many hospitals now no longer offer VBACs, mainly due to the legal climate (the rupture rate of 1 - 2% hasn't changed over the years, although the risk is a bit higher if labor is induced) since you have successfully VBACed before, you may want to transfer care to a facility that is equipped to do VBACs (bascially a larger hospital with 24 hour a day in-house ob AND anesthesia AND a staffed and aready operating room in case the proverbial you-know-what hits the fan)
-- M. Kelly Shanahan, MD, FACOG S. Lake Tahoe, CA
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