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    Questions? Ask Henci!


    Find out what other moms-to-be are asking. Join in the discussion with Henci Goer, whose expertise is determining what the research tells us best promotes safe, healthy birth. If you would like to contact Henci outside of the Ask Henci forum, send an email to Goersitemail@aol.com.

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    Archived User

    Hi Henci,

    I am wondering if there is any literature you can point me to regarding the safety of a vaginal birth after a VBAC. I have heard a physician stating that the risk of uterine rupture increases, and I am wondering what the research on this subject says.

    Thank you!

    Henci Goer

    Oh, my. The facts are exactly the reverse. Having a VBAC greatly decreases the risk of scar rupture and increases likelihood of vaginal birth in subsequent pregnancies. Among the three studies on this topic, 3 to 17 fewer women per 1000 with a prior VBAC experienced scar rupture compared with women with no prior VBAC. Among the seven studies reporting VBAC rates, six of the seven reported rates of 90-97% with prior VBAC vs. 70-76% with no prior VBAC. The seventh study reported a rate of 81% with prior VBAC vs. 60% with no prior VBAC. Once a woman has a VBAC under her belt, so to speak, she is almost certain to go on having uneventful VBACs.

    ~ Henci


    All Times America/New_York

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