VBAC in the trenches: a community perspective.
Clin Obstet Gynecol
; 55(4): 997-1004, 2012 Dec.
Article
en En
| MEDLINE
| ID: mdl-23090469
ABSTRACT
Is vaginal birth after cesarean in the community a disappearing practice? Since 1996 the rate of trial of labor after cesarean for low-risk women has dropped precipitously. This paper reviews the current literature and summarizes opinions of community obstetricians and midwives. Descriptive data are presented to document the scope of the problem and identify barriers liability concerns, provider biases, and institutional restrictions. Our perspective draws on experience in our community hospital with a previously high vaginal birth after cesarean rate and a subsequent ban. Strategies to reduce the skyrocketing cesarean rate and encourage trial of labor after cesarean for low-risk women are outlined.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Esfuerzo de Parto
/
Actitud del Personal de Salud
/
Parto Vaginal Después de Cesárea
/
Hospitales Comunitarios
Tipo de estudio:
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Female
/
Humans
/
Pregnancy
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Clin Obstet Gynecol
Año:
2012
Tipo del documento:
Article
País de afiliación:
Estados Unidos