Hospital Policies are Placing 73-80% of Women at Increased Risk of Morbidity
Tue, 11/04/2008 - 00:12 — jessicabarton
From an article in the September issue of the American Journal
of Ob.Gyn by Rossi (AJOG, Sept 2008, pages 224 to 230): "These findings show that a higher risk of uterine rupture/dehiscence in
women planning a VBAC than in an elective repeat c/section (ERCS) is
counterbalanced by reduction of maternal morbidity, uterine
rupture/dehiscence and hysterectomy when VBAC is successful.
Comment from BAC’s Medical Advisor, Dr. Stuart Fischbein MD FACOG:
And in this study 73% of women had a successful VBAC. (As far as I can tell, the article does not state how the VBAC candidates were selected. So, if candidates were carefully selected I suspect the success rate would be closer to 80%). In any event, with VBAC bans, hospital policies are placing 73-80% of women at increased risk of morbidity than they need to be without informing them of this finding. As I have written to ACOG, consistently, the evidence based medicine which is supposed to be the basis for decision making these days is on the side of allowing VBAC and out of hospital birthing, for that matter.
Comment from BAC’s Medical Advisor, Dr. Stuart Fischbein MD FACOG:
And in this study 73% of women had a successful VBAC. (As far as I can tell, the article does not state how the VBAC candidates were selected. So, if candidates were carefully selected I suspect the success rate would be closer to 80%). In any event, with VBAC bans, hospital policies are placing 73-80% of women at increased risk of morbidity than they need to be without informing them of this finding. As I have written to ACOG, consistently, the evidence based medicine which is supposed to be the basis for decision making these days is on the side of allowing VBAC and out of hospital birthing, for that matter.