[soontobegran]

I just found this-

http://www.plosmedicine.org/article/info%3...al.pmed.1001192

[hoohoobump]

Ahhh, such a tough call. Obviously anyone making the decision either way has some reading to do.

[imamumto3]

I think im glad I didnt read stuff before my VBACS, it would have made for a hard decision.

[soontobegran]

I think im glad I didnt read stuff before my VBACS, it would have made for a hard decision.

I sure understand what you mean but I am am huge supporter of being informed about latest studies.
If I was still having babies the decision would be both difficult and easy for me depending on my circumstances.

[nicknick]

Thanks Soontobegran for posting that article, I have the decision ahead of me. I was surprised to see the high number of Vbacs that ended in a c/s, I am worried about my 1st being emergency c/s the same may happen this time & any increased risks for my bub - at the end of the day I just want to deliver a healthy bub.

[PippityRoo]

I am more than 1000% certain I am going for a VBAC with this baby, and not in anyway doubting myself. Probably because I have birthed my first 2 vaginally, with no complications etc. And my c/s was only due to DD2 being breech, something that I still to this day feel was unnecessary.

So thankfully this article doesn't sway my decision. Not that it was a hard decision to make, I decided as soon as I had my c/s I'd definitely have a VBAC next.

Interesting read though, thanks for posting it.

This post has been edited by PippityPip: 31/03/2012, 04:23 PM

[tibs]

Interesting article, thanks OP

[wfhm]

I think I may be missing something here - did it actually say in that article how many of the babies died? I can't imagine that out of only 2,345 women, that there were many who had serious complications which ended with foetal death. All I can see is that there was more 'risk' for a VBAC - how did they work that out?

I don't really understand these articles (obviously), and don't understand how they are actually meant to help someone make this very important decision when they don't actually explain anything?

Could someone please help me understand?

I had a VBA2C a few months ago, and I won't be doing it again - but only because I'm a sook and it bloody hurt (lol), not because I'm worried of any risks. There are risks involved in any form of birth. I'm glad I got to experience a natural birth, and glad I never paid attention to any of these articles as my baby and I are both perfectly healthy, with no adverse side affects from the type of birth she had.

[Pupalumps]

In the blue box to the right of the article you can access the whole study. For instance under 'results' are tables with the numbers.
http://www.plosmedicine.org/article/slides...ed.1001192.t002
In the 1,237 women having a VBAC there were 2 infant deaths and 28 serious illnesses. In the 1,108 women having ERC there were no deaths and 10 serious illnesses. Under the table it defines what they counted as serious illness. A similar ratio was found for risk of maternal haemorrhage.
Of course the study extrapolates from a sample, but nearly 2,500 is a fairly decent sample size IMO. I'd imagine the results are significant enough that others will be doing more research in the area.