Natural birth safe after Caesarean: panel

An independent panel convened this week by the National Institutes of Health confronted a troubling fact that pregnant women currently have limited access to clinicians and facilities able and willing to offer a trial of labor after previous cesarean delivery because of so-called VBAC bans. Many, even those at low risk for complications in a trial of labor, are not offered this option. The panel affirmed that a trial of labor is a reasonable option for many women with a prior cesarean delivery. They also urged that current VBAC guidelines be revisited, malpractice concerns be addressed, and additional research undertaken to better understand the medical and non-medical factors that influence decision making for women with previous cesarean deliveries.

"Declining VBAC rates and increasing cesarean delivery rates over the last 15 years would seem to indicate that planned repeat cesarean delivery is preferable to a trial of labor. But the currently available evidence suggests a very different picture: a trial of labor is worth considering and may be preferable for many women," said Dr. F. Gary Cunningham, panel chair, and chair of obstetrics and gynecology at the University of Texas Southwestern Medical Center at Dallas.
"There's still a lot we don't know about which women will be successful in having a VBAC, but we believe it's essential that women's desires and preferences be respected throughout the decision making process," said Dr. Cunningham.

Natural birth safe after Caesarean: panel

Having a normal vaginal birth after previous babies were delivered surgically is safe, according to an expert review from the US.

Thu 11 Mar 10 from ABC Science

Panel questions 'VBAC bans,' advocates expanded delivery options for women

An independent panel convened this week by the National Institutes of Health confronted a troubling fact that pregnant women currently have limited access to clinicians and facilities able and ...

Wed 10 Mar 10 from PhysOrg

Panel questions 'VBAC bans,' advocates expanded delivery options for women, Wed 10 Mar 10 from Eurekalert

Panel: Women Need Chance to Avoid Repeat C-Section

Too many pregnant women who want to avoid a repeat Caesarean delivery are being denied the chance, concludes a government panel

Thu 11 Mar 10 from FOXNews

Panel: Women need chance to avoid repeat C-section, Wed 10 Mar 10 from AP

Panel urges more choice in birth after C-section

A National Institutes of Health panel says vaginal birth after caesarean is reasonably safe and should be more widely available. Many hospitals ban the practice as a matter of policy or liability. ...

Wed 10 Mar 10 from L.A. Times

Normal birth safe after Caesareans, U.S. panel agrees

WASHINGTON (Reuters) - Having a normal vaginal birth after previous babies were delivered surgically is perfectly safe and women should have the option, independent experts told the National ...

Wed 10 Mar 10 from Reuters

Panel Finds Many Women Can Avoid Repeat C-Sections

Most women who have had a Cesarean delivery can safely have a vaginal delivery later, an expert panel concluded Wednesday.

Thu 11 Mar 10 from Health News

NIH Panel: End Bans on Vaginal Birth after C-Section

An NIH panel of outside advisors urges a change to hospital rules and doctor guidelines that keep many women who've had a C-section from opting for a natural birth in later pregnancies.

Wed 10 Mar 10 from WebMD

NIH Panel Urges Careful Consideration of VBAC

BETHESDA, Md. (MedPage Today) -- A National Institutes of Health consensus panel has recommended that pregnant women and their care providers use evidence-based decision-making to determine ...

Wed 10 Mar 10 from MedPageToday

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