excellent.
http://www.orgyn.com/en/news/2005/Week_48/Day_3/Vaginal_birth__shoul.asp?C=7722538698839525463
(that link makes me log in, but here's the text)
>
>Vaginal birth 'should be offered after cesarean section'
>Source: American Journal of Obstetrics and Gynecology 2005; 193: 1656-62
>
>Assessing the incidence and risk factors for uterine rupture in
>women attempting vaginal birth after cesarean delivery.
>
>Women who have had a previous cesarean delivery should be offered a
>vaginal birth, as should those who have had a prior cesarean and
>vaginal delivery, recommend US researchers.
>
>George Macones, from the University of Pennsylvania in Philadelphia,
>and colleagues determined the incidence and risk factors for uterine
>rupture in women attempting vaginal birth after cesarean delivery (VBAC).
>
>They reviewed the records of 25,005 women with a prior cesarean
>section, of whom 13,706 underwent an attempt at VBAC and 11,299 had
>an elective repeat cesarean section.
>
>The results showed that women who attempted VBAC had an incidence of
>uterine rupture of 9.8 per 1000. A prior vaginal delivery was linked
>to a lower risk of uterine rupture at an odds ratio of 0.40, while
>sequential use of prostaglandin and pitocin was associated with an
>odds ratio of uterine rupture of 3.07.
>
>"In this large, generalizable, observational study of maternal VBAC
>safety, we found that the overall incidence of uterine rupture in
>those attempting VBAC is quite low," the team concludes.
>
>"Based on our data, we believe that women with a prior cesarean and
>prior vaginal delivery should be encouraged to [undergo] VBAC."
(that link makes me log in, but here's the text)
>
>Vaginal birth 'should be offered after cesarean section'
>Source: American Journal of Obstetrics and Gynecology 2005; 193: 1656-62
>
>Assessing the incidence and risk factors for uterine rupture in
>women attempting vaginal birth after cesarean delivery.
>
>Women who have had a previous cesarean delivery should be offered a
>vaginal birth, as should those who have had a prior cesarean and
>vaginal delivery, recommend US researchers.
>
>George Macones, from the University of Pennsylvania in Philadelphia,
>and colleagues determined the incidence and risk factors for uterine
>rupture in women attempting vaginal birth after cesarean delivery (VBAC).
>
>They reviewed the records of 25,005 women with a prior cesarean
>section, of whom 13,706 underwent an attempt at VBAC and 11,299 had
>an elective repeat cesarean section.
>
>The results showed that women who attempted VBAC had an incidence of
>uterine rupture of 9.8 per 1000. A prior vaginal delivery was linked
>to a lower risk of uterine rupture at an odds ratio of 0.40, while
>sequential use of prostaglandin and pitocin was associated with an
>odds ratio of uterine rupture of 3.07.
>
>"In this large, generalizable, observational study of maternal VBAC
>safety, we found that the overall incidence of uterine rupture in
>those attempting VBAC is quite low," the team concludes.
>
>"Based on our data, we believe that women with a prior cesarean and
>prior vaginal delivery should be encouraged to [undergo] VBAC."