Not exact matches
«VBACs carry a less - than -1-percent increased
risk of a
uterine rupture, which could cause brain damage in the baby or even death, according to the American College of Obstetrics and Gynecologists.»
The Journal of Obstetrics and Gynecology reports a three-fold increased
risk of
uterine rupture for women who attempt to have a VBAC with a pregnancy that began fewer than six months after the end of the last one.
reports a three-fold increased
risk of
uterine rupture for women who attempt to have a VBAC with a pregnancy that began fewer than six months after the end of the last one.
Or might it be because the original manufacturer of the drug knew of the
risks of
uterine rupture?
They fumbled around with the the chuck pads and were looking at the blood soaked carpet and just guesstimating... Top notch healthcare right there... especially since the
risks of
uterine rupture and hemorrhaging increases with s / d.
It is given only in hospitals with good fetal monitoring because of increased
risks to you and your baby, such as fetal distress, too strong or long contractions, and
uterine rupture.
That DOES N'T mean it is unsafe or can not be used by pregnant women and has nothing to do with the
risk of
uterine rupture.
While many providers inform women of the
risk of
uterine rupture when attempting a VBAC, women are almost never informed of the
risks of repeated cesarean surgeries.
Here it is in two places on line: Relative
Risks of
Uterine Rupture or The Baby Center: Odds of
Uterine Rupture
(«Nonhospital VBAC and the
Risk of
Uterine Rupture,» by Diana Korte, Mothering Magazine, Issue 89, July / August 1998)
I scoured the Internet for data and stories on VBACs, other women's success or failure stories of doing them at home, and what the
risk of
uterine rupture was all about.
The
risk of
uterine rupture was cited as one of the main reasons for the urgency in this case but this
risk is widely reported as being 0.1 % or 1/1000.
Risk of
uterine rupture during labor among women with a prior cesarean delivery.
If you've had one c - section with the typical low - transverse
uterine incision and are considered a good candidate for VBAC, most studies estimate the
risk of
rupture during labor to be less than one percent.
No, I'm not confusing facts... a
uterine rupture can occur DURING a c - section, and I never said that MORE occured, just that statistically the
risk of
rupture is higher (mainly because as you have more c - sections the scarred area and tissue surrounding it gets weaker) and even that fact aside, there are plenty of other
risks with c - section that I know many moms who were never informed of them when considering a repeat c vs a vbac, but were certainly informed of the
risks of the vbac... that has nothing to do with c - sections being more convenient and more costly though.
I'm sure you also tell all of your vbac candidates that they should get repeat c - sections because of the
risk of
uterine rupture, when really the
risk of
uterine rupture is HIGHER with a c - section, and even higher with a repeat c - section.
«a c section carries the
risk of
uterine rupture» uhhh does the uterus sense the scalpel coming towards it and spontaneously
rupture out of fear of a big scary sharp knife?
Examples I personally can document: a plague of deadly bacteria in the newborn nursery killing 3 previously healthy newborns, exploding the fetal lungs with too forceful dose of oxygen after birth by inexperienced doctor, crushing the skull during forceps extraction, overdose of adrenalin to newborn by a nurse, slow paging or slow response to call to resuscitate newborn, exploding the uterus (
uterine rupture) and / or placental abruption as a result of high IV dose of oxytocin in labor in a low
risk women.
Using Pitocin can also increase the
risk of
uterine rupture.
I considered VBAC but the OB explained that between increased
risk of shoulder dystocia and
uterine rupture, a vaginal birth would carry a higher
risk of brain damage to the baby.
In the long term, it increases your
risk of pelvic pain, bowel obstruction, infertility, and future pregnancy problems like ectopic pregnancy (pregnancy outside the uterus), placenta previa (placenta over the cervix), and
uterine rupture.
VBAC of a baby over 4200 g has a
risk of
uterine rupture of 1 in 50.
One of most problematic causes of a failed VBAC is
uterine rupture, which is when the scar on your uterus from your previous C - section re-opens during labor, putting you and your baby at serious
risk.
Furthermore, the recommendations state that a prior cesarean delivery is an absolute contraindication to planning a home birth due to the
risks, including
uterine rupture.
A large population - based study from Canada found that the
risk of severe maternal morbidities ---- defined as hemorrhage that requires hysterectomy or transfusion,
uterine rupture, anesthetic complications, shock, cardiac arrest, acute renal failure, assisted ventilation, venous thromboembolism, major infection, or in - hospital wound disruption or hematoma ---- was increased threefold for cesarean delivery as compared with vaginal delivery (2.7 % versus 0.9 %, respectively)(7).
And if that avoided CS results in an unhealthy or dead baby, I think I'll take the
risk of a future
uterine rupture.
The greatest concern for women who have had a previous cesarean is the
risk of
uterine rupture during a vaginal birth.
http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1001184 Basically,
risk of
uterine rupture is very low for vbac1.
If the
risk of future
uterine rupture is unacceptable to you people, then why do you keep advocating for HBACs?
The only safe way to manage the
risk of
uterine rupture during a VBAC is to be in the hospital, with anesthesiologists and OBs able to perform a c - section within minutes.
If your ob / gyn says you need a c / sec and you refuse b / c you believe s / he is wrong or you refuse b / c you do not want to
risk a
uterine rupture during a subsequent pregnancy, who then takes full unequivocal responsibility for the present birth's outcome?
Interesting only 2 of the studies in the review looked a
uterine rupture — a greater
risk for women who have previously laboured.
If you've had a prior C - section and have labor induced, your health care provider will avoid certain medications to reduce the
risk of
uterine rupture.
Studies addressing the
risks and benefits of TOLAC in women with more than one cesarean delivery have reported a
risk of
uterine rupture between 0.9 % and 3.7 %, but have not reached consistent conclusions regarding how this
risk compares with women with only one prior
uterine incision (6, 70 — 73).
Additionally, in one study evaluating
risk factors for
uterine rupture, no significant association was found with the presence of an unknown scar (81).
Three studies have reported no association (49, 77, 81), whereas a fourth has suggested an increased
risk of
uterine rupture for women undergoing TOLAC who have not had a prior vaginal delivery (relative
risk [RR], 2.3; P <.0001)(79).
For example, among three large studies investigating prostaglandins for induction of labor in women with a previous cesarean delivery, one found an increased
risk of
uterine rupture (89), another reported no increased
rupture risk (5), and a third found no increased
risk of
rupture when prostaglandins were used alone (with no subsequent oxytocin)(6).
As discussed below, the
risk of
uterine rupture is higher in women with other types of hysterotomies, with the exception of low vertical incision (a vertical incision performed in the lower
uterine segment).
One observational study comparing induction to expectant management in women with a prior cesarean delivery found that induction of labor was associated with a greater relative
risk of
uterine rupture, whereas another study did not (104, 105).
One study found no increased
risk of
uterine rupture (0.9 % versus 0.7 %) in women with one versus multiple prior cesarean deliveries (72), whereas the other noted a
risk of
uterine rupture that increased from 0.9 % to 1.8 % in women with one versus two prior cesarean deliveries (74).
These studies also found that women with twin gestations did not incur any greater
risk of
uterine rupture or maternal or perinatal morbidity than those with a singleton gestation (96, 97).
Those at high
risk of
uterine rupture (eg, those with previous classical
uterine incision or T - incision, prior
uterine rupture, or extensive transfundal
uterine surgery) and those in whom vaginal delivery is otherwise contraindicated (eg, those with placenta previa) are not generally candidates for planned TOLAC.
Because relocation after the onset of labor is generally not appropriate in patients with a prior
uterine scar, who are thereby at
risk of
uterine rupture, transfer of care to facilitate TOLAC, as noted previously, is best effected during the course of antenatal care.
Another secondary analysis examining the association between the maximum oxytocin dose and the
risk of
uterine rupture (103) noted a dose — response effect between increasing
risk of
uterine rupture and higher maximum doses of oxytocin.
A large multicenter study of women attempting TOLAC (n = 33,699) also showed that augmentation or induction of labor was associated with an increased
risk of
uterine rupture when compared with spontaneous labor (1.4 % for induction with prostaglandins with or without oxytocin, 1.1 % for oxytocin alone, 0.9 % for augmented labor, and 0.4 % for spontaneous labor).
In addition, there has not been consistent evidence of an increased
risk of
uterine rupture or maternal or perinatal morbidity associated with TOLAC in the presence of a prior low - vertical scar.
Two retrospective cohort studies demonstrated no increase in the
risk of
uterine rupture (101, 113), whereas another retrospective cohort study reported an increase compared with women in spontaneous labor (114).
Uterine rupture: this is the biggest
risk, since it's the most dangerous.
Given the lack of compelling data suggesting an increased
risk with of
uterine rupture with mechanical dilation and transcervical catheters, such interventions may be an option for TOLAC candidates with an unfavorable cervix.
We have little ability to quantify maternal
risks of
uterine rupture and other maternal morbidities when a women with three or more prior cesareans desires spontaneous labor.