Thanks for posting this, Mary. Again, I find these blurbs about research rather confusing. In this study, I wonder if they are talking about spontaneous onset of birth prior to 40 wga, or induction? I can't believe induced births just prior to 40 wga result in more successful VBACs?? It's like trying to open up a bicycle lock with only 3 of the 7 numbers in the combination. Unfortunately, there are some who would read this blurb that way and then try to convince VBAC women to induce in order to increase their chances. What is meant by "major complications". I consider a repeat cesarean a "major complication" but they seem to see it as a "failure". The body of the article seems to be at odds with the title. Gloria
Quoting Mary Murphy <[EMAIL PROTECTED]>: > VBAC risks not elevated post term > Source: Obstetrics & Gynecology 2005; 106: 700-6 > > Comparing the risk of failure and major complications after a vaginal birth > after cesarean when performed before and after the estimated date of > delivery. > > Vaginal birth after cesarean (VBAC) can be safely attempted in women beyond > 40 weeks gestation, but the likelihood of success is reduced, say > researchers. > > "Although VBAC data have been examined in different patient populations and > clinical scenarios, little has been published about VBAC attempts in women > whose pregnancy has reached or extended past the estimated date of > delivery," note Kara Coassolo (Hospital of the University of Pennsylvania, > Philadelphia, USA) and colleagues. > > For the current study, the team used retrospective data for 11,587 women who > attempted VBAC at one of 17 hospitals over a 5-year period. They found that > cesareans VBAC in women who were beyond 40 weeks' gestation were > significantly more likely to fail than those carried out earlier. However, > the risk of uterine rupture and overall morbidity was not significantly > increased. > > Based on their research, Coassolo et al say practitioners "can counsel women > that the chances of VBAC success are decreased in gestations that continue > beyond the estimated date of delivery compared with those before 40 weeks." > However, patients can be reassured that the success rate is still quite > good, at 70 percent, and that the risks are not increased "simply because > the due date has passed." > > Posted: 5 October 2005 > > > > -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
