RT Journal Article
SR Electronic
T1 Vaginal Birth After Cesarean Section In A Community Hospital: A Family Practice Residency Experience
JF The Journal of the American Board of Family
                Practice
JO J Am Board Fam Med
FD American Board of Family Medicine
SP 169
OP 171
DO 10.3122/jabfm.2.3.169
VO 2
IS 3
A1 Bruce R. Guerdan
A1 James P. McKenna
A1 John C. Y. Wright
YR 1989
UL http://www.jabfm.org/content/2/3/169.abstract
AB Several tertiary care, multicenter studies have shown vaginal birth after Cesarean section (VBAC) to be a viable alternative in a select patient population. The premise of our study was that VBAC is a safe option in a community hospital setting. Any patient meeting the criteria of the American College of Obstetricians and Gynecologists (ACOG) was eligible for a trial of labor, and ACOG guidelines regarding mandatory facilities and personnel were followed. One hundred six women with a history of previous Cesarean section were delivered of infants during the study period. Of these, 16 attempted a trial of labor, and 13 (81.3 percent) had vaginal births with minimum morbidity. There were no instances of scar disruption. Thirty-nine percent of the patients who were successful with VBAC had had a previous vaginal birth. By offering VBAC, the participating physicians were able to reduce their repeat Cesarean section rate by 12 percent.