More Women Forced into Surgery;
Few Mothers Recognize They Can Reduce Their Risk of Surgery
Redondo Beach, CA, March 18, 2009 - The National Center for Health Statistics has reported that the cesarean rate hit an all-time high in 2007, with a rate of 31.8 percent, up two percent from 2006.
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Today, a statement was released from the NIH VBAC consensus stating that evidence shows VBACs are a safe alternative to a repeat c-section. According to their statement: "Given the available evidence, TOL is a reasonable option for many pregnant women with a prior low transverse uterine incision." Additionally, "We are concerned that medico-legal considerations add to, as well as exacerbate, these barriers. Policymakers, providers, and other stakeholders must collaborate in the development and implementation of appropriate strategies to mitigate the chilling effect of the medico-legal environment on access to care"
The complete statement released by the panel can be found here: NIH VBAC Consensus statement
The post conference press release can be found here: NIH VBAC post conference press release
ACOG has modified their VBAC guidelines! Their guidelines state that twin pregnancies, VBA2C (Vaginal birth after two cesareans), large babies, post-dates, and unknown surgical incision should not be reasons to disallow a VBAC. Additionally, the new bulletin (#115) also states that the choice should be made up to the woman regarding the decision to attempt a VBAC or have a repeat cesarean.
To see the press release from ACOG, view this link: Ob-GYNs Issue Less Restrictive VBAC guidelines