Uterine rupture fear: Because of the fear of uterine rupture (risk is 1 per 110-200 patients trying labor after prior c-section), the american college of obstetricians and gynecologists had recommended that vbac only be "attempted in institutions equipped to respond to emergencies", so doctors were not comfortable doing vbac in case a life-threatening emergency were to result, and some hospitals did not allow vbac's.
Answered 12/11/2014
6.2k views
Risk: Many doctors still do vbac with proper council. The risk of uterine rupture is about 1% for spont. Labor, 2% for augmented labor and 4% for induced labor. This is low. The concern is the consequence of uterine rupture. 50% catastrophic results, loss of mother, loss of baby or lifetime neurological injury to baby! many but not all couples are willing to accept those risks.
Answered 12/10/2014
6.2k views
Immed available: Because the consequences can be catastrophic - death or disability to both mother and child. This is why acog recommends an md be immediately available during a vbac. Since most obstreticians can't be in the hospital 24/7, most prudently decline to vbac. If you have a obgyn who can commit and you are an appropriate candidate, vbac's can be highly successful.
Answered 9/28/2016
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Liability concerns.: Although the absolute risk for uterine rupture after one prior kerr cesarean section is 1/200, that risk increases with short inter-pregnancy interval, more than once prior cesarean, non-kerr prior c-section, induced labor and likely with multifetal pregnancy (not clear). Also, if this occurs the outcome is potentially lethal for fetus and/or mother, so you can imagine why it is not appealing.
Answered 7/14/2012
5.7k views
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A doctor has provided 1 answer
A doctor has provided 1 answer
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