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| Posted By |
AUSER on 10/13/2006 10:31:47 AM |
| Subject: |
VBAC with Classical Incision |
| Message: |
It sounds like you are in good hands and well on your way to planning the safest possible birth. You are also wise to take into account that another pregnancy, intended or not, is a possibility if you are not planning to do something permanent about preventing it.
The rate that I have seen bandied about in the literature for scar rupture of a classical incision is even higher than 7%. After reading the Landon 2004's statistic, I looked up the sources for the higher number. Turns out it came from two older studies from back in the days when a fair number of classical uterine incisions were still being done, but these studies did not distinguish between scar dehiscence (a harmless window) and scar rupture (the scar opens completely and causes symptoms). Landon 2004 did, as do all of the more recent studies and reviews.
If I may make a suggestion, Ob Myths is really dated. In fact, I'm working on a new edition, although it won't be out for awhile, a couple of years at least. Thinking Woman's Guide to a Better Birth is more recent.
-- Henci By: Henci Goer |
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