Archive for Thursday, March 11, 2010

Panel: Many women can avoid repeat C-section

March 11, 2010

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— Too many pregnant women who want to avoid a repeat cesarean delivery are being denied the chance, concludes a government panel that urged doctors to rethink litigation-spurred policies that have swung the pendulum back toward the days of “once a C-section, always a C-section.”

Fifteen years ago, nearly 3 in 10 women who had a first C-section were able to deliver their next baby vaginally, a trend called VBAC for “vaginal birth after cesarean.”

Now that rate has dropped to 1 in 10, in part because a third of hospitals and half of physicians ban women from attempting VBAC, a panel of specialists convened by the National Institutes of Health said Wednesday.

But VBAC remains a safe alternative for the right candidates, and when those women try labor, between 60 percent and 80 percent of the time they do give birth vaginally, the NIH panel concluded. It urged that doctors offer mothers-to-be an unbiased look at the pros and cons, so they can decide for themselves.

Nearly a third of U.S. births are by cesarean, an all-time high.

Comments

curious2 5 years, 5 months ago

In 1999 I had an emergency C-Section. Later, in December of 2004 I was 33 weeks pregnant, and after much thought I decided I wanted to try a VBAC. However in Jan 2005 LMH changed their policy and I had to have a repeat C-Section. I was told there was a very slight possibility of uterine rupture. I was upset, I felt it had more to do with liability issues rather that what I (the patient) wanted. America's doctors have become comfortable with C-Section delivery, after all, it is more convenient for a physician to schedule a birth, not to mention, C-Sections are generally more expensive! http://www.csections.org/versus.php It appears there are many more negative aspects to consider when delivering C-Section & I am appalled to hear women would prefer this over a Vaginal birth! I had my last child in 2005. I regret I never had the opportunity to give birth the natural way. However my kids are happy healthy and growing like weeds, I am grateful for that!

-Momma x3

WiseOne 5 years, 5 months ago

And what about the percentage of the women or babies or both, that have died trying to have a regular vaginal birth after a C-Section. In my opinion there are too many risks to take a chance, if you have already had an emergency C-section. I know of women that have lost their babies while trying to experience that wonderful thing called child birth, when they have already experienced problems with their first child. I just don't think it is worth it.

LoveThsLife 5 years, 5 months ago

I have had one child via c-section due to failure to progress. I have been considering vbac when we have another. Are their any doctors in Topeka or Overland Park that would consider this? (that anyone knows of)

I know of one lady that did a vbac homebirth because the hospital wouldn't allow a vbac. I thought that was a little too risky.

tvc 5 years, 5 months ago

WiseOne, we should give women the information and let them decide for themselves. It is her body! If we don’t, we will have more people like LTL’s friend giving birth at home.

Katara 5 years, 5 months ago

curious2 (anonymous) says…

In 1999 I had an emergency C-Section. Later, in December of 2004 I was 33 weeks pregnant, and after much thought I decided I wanted to try a VBAC. However in Jan 2005 LMH changed their policy and I had to have a repeat C-Section. ~~~~~~~~~~~~~~~~~~ That is too bad they changed their policy. I had VBACs at LMH with no problems prior to that and they were very supportive of it. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ WiseOne (anonymous) says…

And what about the percentage of the women or babies or both, that have died trying to have a regular vaginal birth after a C-Section. In my opinion there are too many risks to take a chance, if you have already had an emergency C-section. I know of women that have lost their babies while trying to experience that wonderful thing called child birth, when they have already experienced problems with their first child. I just don't think it is worth it. ~~~~~~~~~~~~~~~~ If the same conditions exist that prompted an emergency c-section, I can see why a scheduled c-section would be preferred. But the risk is of death of either baby or mother is very small (IIRC 0.1%) and mainly occurred when induced through the gel used on the cervix. The contractions are very strong with that method and caused uterine rupture because there was little passive labor prior to the strong contractions.

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