The risk of Uterine rupture in those women wanting VBAC

The instant that Mother and baby meet face to face for the first time

I know I have written blogs about uterine rupture before, but I feel compelled to write again on this topic as ‘uterine rupture’ is often the ONLY topic of conversation that some of my clients have with their care providers, and some times at each and every antenatal visit, all that is discussed with my clients are the risks associated with having a VBAC, and the main topic of conversation is ‘Uterine rupture’.

So what are the chances of such an occurrance, what actually happens when the uterus ruptures, and are there any interventions which may increase the chance of the old scar rupturing?

I’ve found a research study performed on a very large sample size which looks at the rupture rates for women who labour spontaneously, women who are induced with prostaglandins, and also women who induced with oxytocin.  Not suprisingly, it was found that women who labour spontaneously have the lowest rate of uterine rupture, and women whose labours are sped up with oxytocin have the highest rate and chance of this happening to them.

It has always been my firm belief that when labour is left well alone, and when women labour spontaneously, without any natutal or medical induction methods, then labour tends to go well.  This is certainly the case when wanting to avoid major complications such as uterine rupture with women wanting VBAC…

http://www.ncbi.nlm.nih.gov/pubmed/20716251

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