References

1.  Ken Turkowski's Reference's:        Annotated VBAC Bibliography and related essays

2.  Marilyn’s compiled index:  Available on Request

3.  Cesarean Section Homepage

        Legal Cases

  Articles

Adverse reactions to Oxytocics- NIHS "Oxytocic administration should be avoided if possible  in patients with a history of Cesarean section  or myomectomy for myoma uteri.  Administration must be performed  with extreme caution if it is inevitable."

OB/GYN.net-VBAC

Doulas of North America

Comparison of a TOL with an Elective Second Cesarean Section

Induction of labour and uterine rupture

Use of Hospital Discharge Data to monitor UR

ACOG STRONGLY SUPPORTS VBAC, BUT URGES CAUTION

C-section rate too low - Object to cuts sought by feds,insurers

Vaginal Births Are Not Always Best

CBS Chat with Dr. Frigolette-Risky Deliveries

Case 9-1998: Uterine Rupture

NEJM: The cruelest cutback?             Response

Risk Mitigation of VBAC

Unnecessary Cesarean Sections: Curing A National Epidemic

Good Option after Cesarean Delivery

Efforts to reduce C-sections pose dangers

Caesareans Not All Bad, Doctors Say

Pathologic Uterine Rings

NGC-VBAC  pdf format

Mother Jones

VBAC: Time to Reconsider?

From the KAISER DAILY REPRODUCTIVE HEALTH REPORT 
A service of the kaisernetwork.org

 http://www.kaisernetwork.org/daily_reports/rep_repro.cfm 
Thursday, December 7, 2000  

              

VAGINAL DELIVERY FOLLOWING CAESAREAN POSES
 BOTH RISKS AND BENEFITS, STUDY SHOWS   

     In a recent study of nearly 48,000 women who participated in 15 studies published between 1989 and 1999, University of Michigan researchers have concluded that women who had undergone a caesarean section and subsequently delivered vaginally were twice as likely to have a ruptured uterus compared to those who chose to have another caesarean, the Washington Post reports. However, women who delivered vaginally after caesarean showed a 30% lower risk of fever, a 43% lower risk of needing a blood transfusion and a 61% lower risk of requiring a hysterectomy. But infants born to women who delivered vaginally after previously undergoing caesarean delivery were slightly more likely to suffer fatalities:  Scientists identified 38 cases of infant death among 19,842 post-caesarean vaginal deliveries, compared to 10 fatalities among 13,292 second-time caesarean births.  The Post reports that the study, published in the November issue of the American Journal of Obstetrics and Gynecology, is the first "comprehensive assessment of a variety of recent studies on birth-method risks."  However, the Post notes that the study "may be biased," as the women participating in the study "chose their own delivery method rather than being randomly assigned."    (Samiei, Washington Post, 12/5/00).

 

            Guidelines & Policies

Guidelines, statements, opinions, evidence based medicine

AAFP VBAC Clinical Policy

Virtual Hospital-VBAC

Copic Insurance-VBAC

The Vermont Program for Quality in Health Care-VBAC

NGC-VBAC Guidelines