Dear Jo, You can get this research article in the Australia NZ J Obstetric Gynaecol 2000:40; 1; 87-91. In regard to the uterine rupture rates there is a table in this article that states - designated trial of labour - 26 - other lower segment scar - 4 in labour; 7 not in labour - classical or other scar - 3 in labour; 5 not in labour - not scarred - 13 in labour; 4 not in labour - all patients - 46 in labour; 16 not in labour I hope this helps you in some way. cheers kathy ----- Original Message ----- From: "Dean & Jo" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Sunday, June 13, 2004 8:57 PM Subject: [ozmidwifery] VBAC multi-centred study
Is there anyone in ozmid land who has the full study: Vaginal birth after Caesarean section: an Australian multicentre study. VBAC Study Group. Appleton B, Targett C, Rasmussen M, Readman E, Sale F, Permezel M. I am tring to determine exactly what ruptures the researchers refer to... the abstract reads: Retrospective analysis of medical records and individual case review was undertaken at 11 major obstetric hospitals for a 5 year period from July 1992 to June 1997 to investigate rates of vaginal birth after Caesarean section (VBAC), the occurrences of uterine rupture, and the outcomes for mother and infant following rupture. Total deliveries were 234,015, of which 21,452 or 9.2% were associated with one or more previous Caesarean sections. Within this scar group, 5419 patients or 25.3% were delivered vaginally. There were 62 cases of significant uterine rupture with no maternal deaths. I will never claim to be an expert at critiquing research, so hope that someone can offer some suggestion. My question is this...it says that there were 62 ruptures but they dont say exactly which groups these ruptures occurred in- was it just the women with previous cs history? Was it just the whole numbers, ie including those without cs history? As it reads it doesnt really say specifically. It also reads: In women attempting vaginal delivery after a previous lower segment Caesarean section, the uterine rupture rate was estimated at 0.3%, with 0.05% experiencing a perinatal death and 0.05% requiring a hysterectomy. What are the current figures relating to women having cs requiring hystorectomy?? Can anyone chat to me about this soon as i am writing a report on a document that will have HUGE impact on vbac acre here isn SA...and possibly not for the good! cheers Jo Bainbridge -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
