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The VBAC Companion
The Expectant Mother's Guide to Vaginal Birth After Cesarean
By Diana Korte
You might be wondering why I've included information about nonhospital VBACs when uterine rupture is possible with any VBAC. The answer is that there will always be reasonable women who choose to have VBACs in out-of-hospital birth centers or at home.
These women believe they have a 99 percent chance of having a successful non-hospital VBAC, and they are correct. Thousands of women have had VBACs in homes and birth centers, sometimes after multiple Cesareans, with no problems whatsoever. But when a dreaded rupture happens, the baby's death is likely to follow unless a Cesarean is performed within 30 minutes. To avoid any neurological damage to the baby, a 1993 study found, the Cesarean should ideally take place in 17 minutes or less.
Sometimes women who give birth at home or in birth centers erroneously believe they can't have a rupture because they are not using Pitocin or prostaglandin gel. Although a rupture is more likely to happen after labor is induced with one of these products, some ruptures have developed without induction. In Arizona, California and Colorado, and probably elsewhere, babies have died in home births because of uterine ruptures.
Some women who plan non-hospital VBACs choose birth centers that are only a few minutes from hospitals. Others arrange to labor at friends' houses that are quite near hospitals. A few even take nearby motel rooms. While pursuing the benefits of VBAC outside a hospital, these women also take steps to reduce the risks.Want to see more?
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