Obstetrics (VBAC)
ACOG Strongly Supports VBAC, But Urges Caution
Published in Women's Health Weekly, October 5th, 1998
Because individual risk factors must be considered, ACOG rejects as inappropriate any 'global mandates' by third parties for a trial of labor after a previous cesarean delivery.
The bulletin states that while VBAC is accepted as a way to lower the overall cesarean rate, "... it has become apparent that VBAC is associated with a small but significant risk of uterine rupture." Rupture of the uterine scar from a previous cesarean can...
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