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Wow, medical journal piece on risks of RCS

iris427iris427 member
in VBAC
Wow you guys have to look at this.  It's a review of the maternal risks associated with cesarean delivery, from the October 2011 issue of the American Journal of Obstetrics and Gynecology.  Here is the summary:
 
As the rate of cesarean delivery continues to increase, the association between this procedure and long-term maternal morbidity is a growing concern. Although it is often difficult to establish causality, the risk of morbidity generally increases with the number of cesarean deliveries. The most serious maternal risk in pregnancies following cesarean delivery is placenta accreta spectrum disorder and its associated complications, including massive maternal hemorrhage. A history of multiple cesarean deliveries is the major risk factor for this condition. Pregnancies following cesarean delivery are also at increased risk for other types of abnormal placentation, reduced fetal growth, preterm birth, and possibly stillbirth. Chronic maternal morbidities associated with cesarean delivery include pelvic pain and adhesions. Cesarean delivery may also increase the risk of adverse reproductive effects, including decreased fertility, increased risk of spontaneous abortion, and ectopic pregnancy. It is important for clinicians and patients to be aware of the maternal and fetal morbidity associated with cesarean deliveries. The long-term complications associated with cesarean delivery must be considered when discussing the mode of delivery in first and subsequent pregnancies. 
 
 
 You can read the full article here and it's really worth a look:
 
 
And yet doctors and hospitals around the country are banning VBAC and scaring women because of a <1% chance of uterine rupture?  SMH.
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Re: Wow, medical journal piece on risks of RCS

  • nosoup4unosoup4u member

    "It is important for clinicians and patients to be aware of the maternal and fetal morbidity associated with cesarean deliveries. The long-term complications associated with cesarean delivery must be considered when discussing the mode of delivery in first and subsequent pregnancies."

    Exactly what you said! This just makes me so angry that so many women are being denied VBAC as an option. AAAAAAARGH. Thanks for the post!

     

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  • MAprincessMAprincess member
    imageiris427:
    Wow you guys have to look at this.  It's a review of the maternal risks associated with cesarean delivery, from the October 2011 issue of the American Journal of Obstetrics and Gynecology.  Here is the summary:
     
    As the rate of cesarean delivery continues to increase, the association between this procedure and long-term maternal morbidity is a growing concern. Although it is often difficult to establish causality, the risk of morbidity generally increases with the number of cesarean deliveries. The most serious maternal risk in pregnancies following cesarean delivery is placenta accreta spectrum disorder and its associated complications, including massive maternal hemorrhage. A history of multiple cesarean deliveries is the major risk factor for this condition. Pregnancies following cesarean delivery are also at increased risk for other types of abnormal placentation, reduced fetal growth, preterm birth, and possibly stillbirth. Chronic maternal morbidities associated with cesarean delivery include pelvic pain and adhesions. Cesarean delivery may also increase the risk of adverse reproductive effects, including decreased fertility, increased risk of spontaneous abortion, and ectopic pregnancy. It is important for clinicians and patients to be aware of the maternal and fetal morbidity associated with cesarean deliveries. The long-term complications associated with cesarean delivery must be considered when discussing the mode of delivery in first and subsequent pregnancies. 
     
     
     You can read the full article here and it's really worth a look:
     
     
    And yet doctors and hospitals around the country are banning VBAC and scaring women because of a <1% chance of uterine rupture?  SMH.

    I hope anyone who comes here looking for support for dealing with a doctor who is not supportive of VBAC prints this article out and hands it to that doctor.  Then please come back here and let us know what they say. 

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  • YaraCYaraC
    Thank you. I am printing this out to take to my OBs when I hit 41 weeks to explain why I am unwilling to submit to unnecessary surgery just because I have hit some arbitrary deadline.
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  • BlindysWifeBlindysWife member

    Saving that link. Thanks, Iris.


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  • JcrabJcrab
    The informed consent to VBAC my midwife had me sign today stated similar data and it felt good. I'm really not concerned about VBAC, much more if baby doesn't cooperate and I need another automatic C/S.
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