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Subject:	uterine rupture rates on uncut uterus with pit vs rupture rate for prior c/s
Body:	<div class="NTForums_Quote">Posted By Henci Goer on 07/16/2008 11:47 PM<br><P>I am happy to hear that. My co-author, Amy Romano, a CNM with experience in home, birth center, and hospital births, and, I should add, my supervisor for this Forum, and I are very excited about the work we're doing on the new edition and how helpful we think it will be for those advocating for or wanting to practice optimal care (defined by ACNM as care likely to produce the best outcomes in any individual case with the least use of medical intervention). We just wish we could figure out how to make it go faster. </P> <P>I know what you mean about morbidity and mortality statistics. One point I make in my VBAC talk is that the excess risk of losing the baby because of a scar rupture is in the range of 1-4 per 10,000. The excess risk of pregnancy loss in women having an amniocentesis according to one review was <EM>60</EM> per 10,000, but nobody is arguing against doing amniocentesis on grounds of the risk.  </P> <P>Seeds JW. Diagnostic mid trimester amniocentesis: how safe? Am J Obstet Gynecol 2004;191(2):607-15.</P> <P>-- Henci</P></div><br><br>
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