From Monday Morning Memo, www.HMHB.org

 

VAGINAL BIRTH AFTER CESAREAN

A study appearing in the June edition of the journal Obstetrics and
Gynecology reviews evidence about maternal and neonatal outcomes relating to
vaginal birth after cesarean (VBAC).  The study authors identified relevant
studies from multiple searches of MEDLINE, DARE and the Cochrane databases
(1980 to September 2009) and from recent systematic reviews, reference
lists, editorials, Web sites and experts.  Overall, there were low rates of
maternal harm for both trial of labor and elective repeat cesarean delivery.
Maternal mortality rates were higher for elective repeat cesarean delivery
at 0.013% compared with 0.004% for trial of labor.  Rates of maternal
hysterectomy, hemorrhage and transfusions were similar for both trial of
labor and elective repeat cesarean delivery.  Perinatal mortality was
increased for trial of labor (0.13% compared with 0.05% for elective repeat
cesarean delivery.  The study authors concluded that VBAC is a reasonable
choice for the majority of women, since adverse outcomes were rare.  To
access the full study online, go to
http://journals.lww.com/greenjournal/Fulltext/2010/06000/Vaginal_Birth_After
_Cesarean__New_Insights_on.25.aspx.

 

 

_________________________________________________

Dia L. Michels
Platypus Media -- Resources for Families, Teachers and Parenting
Professionals
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Washington, DC 20003
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