Clinical Analysis about Outcome of Vaginal Birth after Cesarean Section (VBAC)

• Published in: Kita Kantō igaku (The Kitakanto Medical Journal) Vol. 52; no. 6; pp. 449 - 451
• Main Authors: Kikuchi, Nobumasa, Tomatu, Kuniya, Yamada, Tetuo, Ozawa, Katusuke, Kawanago, Tamaki
• Format: Journal Article
• Language: English
• Published: The Kitakanto Medical Society 2002
• Subjects: VBAC (Vaginal birth after cesarean) Uterine rupture Obstetric Accident
• ISSN: 1343-2826; 1881-1191
• DOI: 10.2974/kmj.52.449

Background and Aims : With the childbirth age becoming high in addition to the low birth rate in recent years, there is a growing perception that a child itself is a variable baby. With this, coupled with the increased safety of cesarean section, indications for cesarean section have been expanded. Previously we closely examined and studied the cases in which vaginal birth after cesarean section (VBAC) resulted in uterine rupture. Methods : Using 226 cases subjected to VBAC as the subjects, a retrospective analysis was made. Results : Uterine rupture (threatening uterine rupture, incomplete uterine rupture) occurred in 20 cases (8.9%) of the 226 cases of VBAC. Conclusion : Considering that medical suits for obstetric accidents are assuming a serious proportion, it is necessary to judge the situation properly and take steps suited to the occasion. In trying VBAC, utmost care is required, and it would be worthwhile to recommend elective cesarean section for the pregnant women who have the history of cesarean section.