VBAC Series: The Truth About Uterine Rupture

 

            If you've done any amount of research into VBACs, you have more than likely come across the #1 concern of both mothers and physicians alike: uterine rupture. Obviously, this is a risk that should be considered and taken seriously by any woman thinking about having a VBAC. While varying circumstances will increase or decrease the chances of this, it's important to know that the risk of uterine rupture is not as high overall as you may have been lead to believe or think.
            Since I am, of course, not a medical professional and the fact that several new studies have come out in the last several years on this, I'm not going to give you a specific number as it varies slightly from one site/study to another. I've also seen several sites that have gone after bloggers for undermining the chances of having a uterine rupture. With that being said, I would just like to make it known that I am neither trying to undermine OR overestimate the chances of uterine rupture in VBAC candidates. I am simply trying to help people find the facts for themselves and make their own informed decision.
            Now, with that out of the way, let's move on to some informative links! The information found on these pages should dispel any myths you may have heard or read about as well. Also, please note that even if there are multiple pages from the same website (such as VBAC Facts) the author has different sources as well, such as studies and books. (Please note these are not listed in any order of importance.)
Midwife Thinking-VBAC: Making a mountain out of a molehill: TONS of information, written by a midwife, and includes other risks to take into consideration besides uterine rupture that can potentially be more life threatening, such as a prolapsed cord.
VBAC Facts-Estimates of Risk of Uterine Rupture
VBAC Facts-Comprehensive Chart on Uterine Rupture Measuring Multiple Variables
Mayo Clinic-VBAC: Insight from a Mayo Clinic Specialist: I thought I would include this because I thought it was refreshing to see that not all physicians are against VBAC.
ACOG's Practice Bulletin on VBACs: This is a must read chock full of information, including that on twins, more than one previous cesarean, how different risk factors may affect a successful VBAC, and MUCH more.
NIH Consensus Development Conference on Vaginal Birth After Cesarean: New Insights: Also a good read that addresses many common concerns.

            That should keep you busy for awhile! Just remember to do your own research, keep your values and goals in mind when deciding whether to try for a VBAC, and listen to your gut! Everyone rates risks differently and what may work for one woman may not work for you and vice versa.

*Disclaimer: I am not a medical professional. The information in this post should not be taken as medical advice.