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Vaginal Birth After Cesarean Risks for Patient And Doctor
Major shifts in clinical practice rarely evolve as quickly or dramatically as has occurred with the practice of offering a trial of labor to patients who have had a previous cesarean section. Vaginal birth after cesarean (VBAC) has become a relatively rare event in recent years. The popular press has addressed the issue as a matter of patient choice, while the obstetrical community has focused on safety – both for the patient and for the health care providers. Medical malpractice liability has been cited as a reason for the decision by a number of hospitals in the United States to stop offering VBAC to its patients. If that is, in fact, one of the reasons for this move, it demonstrates the essential nature of our legal system as a check on the use of dangerous and unsupported clinical practices by our health care community.
VBAC in Recent History
Prior to the 1970s, after a woman had a cesarean delivery, she had no choice but to deliver all subsequent babies by the same method. The maxim of “Once a cesarean, always a cesarean” dictated the course of treatment because of the concern, albeit untested in clinical trials, that the presence of a scarred uterus created an unacceptable risk of uterine rupture when it was subjected to the contractive forces of labor.
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Major Differences In UK, U.S. Copyright Laws
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