STUDY: VAGINAL BIRTH AFTER CESAREAN
A study in the June edition of the journal Obstetrics and Gynecology reviews evidence about maternal and neonatal outcomes relating to vaginal birth after cesarean (VBAC). The authors identified relevant studies from multiple searches of MEDLINE, DARE and the Cochrane databases (1980 to September 2009) and recent systematic reviews, reference lists, editorials, Web sites and experts. Overall, there were low rates of maternal harm for both trial of labor and elective repeat cesarean delivery. Maternal mortality rates were higher for elective repeat cesarean delivery at 0.013% compared with 0.004% for trial of labor. Rates of maternal hysterectomy, hemorrhage and transfusions were similar for both trial of labor and elective repeat cesarean delivery. Perinatal mortality was increased for trial of labor (0.13% compared with 0.05% for elective repeat cesarean delivery. The study authors concluded that VBAC is a reasonable choice for the majority of wome
n, since adverse outcomes were rare. To access the full study online, go to http://journals.lww.com/
A study in the June edition of the journal Obstetrics and Gynecology reviews evidence about maternal and neonatal outcomes relating to vaginal birth after cesarean (VBAC). The authors identified relevant studies from multiple searches of MEDLINE, DARE and the Cochrane databases (1980 to September 2009) and recent systematic reviews, reference lists, editorials, Web sites and experts. Overall, there were low rates of maternal harm for both trial of labor and elective repeat cesarean delivery. Maternal mortality rates were higher for elective repeat cesarean delivery at 0.013% compared with 0.004% for trial of labor. Rates of maternal hysterectomy, hemorrhage and transfusions were similar for both trial of labor and elective repeat cesarean delivery. Perinatal mortality was increased for trial of labor (0.13% compared with 0.05% for elective repeat cesarean delivery. The study authors concluded that VBAC is a reasonable choice for the majority of wome
n, since adverse outcomes were rare. To access the full study online, go to http://journals.lww.com/
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