Via Kevin, MD, I learned about this story in USAToday titled “Battle lines drawn over C-sections.” The piece describes women who were not allowed to attempt vaginal birth after C-section due to the doctor/hospital’s concerns about litigation if uterine rupture were to occur. For example, “In Oklahoma, most OB/GYNs won’t allow patients to attempt a VBAC because their malpractice insurance no longer will cover claims resulting from such births.”
“And some women, such as Barbara Roebuck, never bother going to the hospital. Roebuck, 37, delivered four babies vaginally before requiring a C-section for her fifth, who was breech. Pregnant with her sixth, she says she saw four doctors in a futile search for one who would let her try a VBAC. Every one of them said: ‘Hospital policy. You don’t have a choice,’ Roebuck recalls.” According to the story, some women were apparently encouraged to temporarily relocate in order to have the choice of how to give birth.
As the article mentions, the incidence of perinatal death due to uterine rupture during VBAC seems to be very low, about 1.5/10,000. A very detailed evidence report on the topic is available here. It seems that this should be evaluated on a woman-by-woman basis, rather than forcing surgery on women due to potential litigation issues.
Some resources:
Technorati Tags: C-section; childbirth; VBAC