It is sad to me how many OBs will scare their patients into repeat cesareans. They are not honest with the real risks of VBAC. I want OBs to be honest about the risks and then let the mom choose what is best for her.
They should also be honest if the real reason they don’t support VBAC is because their insurance or the hospitals insurance won’t allow it, instead of scaring the mom into it. Then if mom still wants a VBAC, refer her to an OB and hospital which will support it.
The statistical risk of tragic outcomes from a VBAC due to uterine rupture is EXTREMELY small.
Uterine rupture that actually causes perinatal morality has a probability of 0.00046. That is, by all measures, extremely, extremely rare. Also, all causes of perinatal mortality for VBAC were identical to perinatal mortality risk for a first time vaginal delivery.
Make your choice based on facts, not fear.
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