WOW! it is amazing how high the numbers arer of ruptures that occur NOT during labour??
Kathy, I found you VBAC stuff you sent the other day and alsofound the reply I had dedicatedly written and negated to post!!! I am so sorry! I would love to talk to you about this off list if you want to. cheers Jo ----- Original Message ----- From: "Kathy McCarthy-Bushby" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Monday, June 14, 2004 9:02 AM Subject: Re: [ozmidwifery] VBAC multi-centred study > 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. -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
