ACOG Wants To Make Vaginal Birth After

C-Section Available To Way More Moms

The American College of Obstetricians and Gynecologists announced new guidelines on Tuesday that aim to make Vaginal Birth After Cesarean — or “VBAC” — far more available to interested women.

For years, the group has supported VBAC as a safe choice for mothers who have had a prior C-section and who want to attempt a subsequent vaginal birth, provided they work with their care providers to carefully weigh the individual risks and benefits. Between 60 and 80 percent of women who try for a VBAC are able to have a vaginal birth, ACOG says.

However, following an uptick in VBACs between the late 1980s and early 1990s, the VBAC rate in this country has dropped, in part because of physicians’ fears over liability and malpractice. Women who have a VBAC are at increased risk of uterine rupture, in which there is tearing along the scar on their uterus, though estimates suggest it occurs in less than 1 out of 100 women who have a subsequent vaginal birth.

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But the group’s goal is to reach a point where women who are good candidates for a vaginal birth are at least given the option.

“The message is that while [VBAC] is not right for every woman, which is really, really emphasized in the ACOG guidelines,” Rosner said. “It is something we can offer safely to many women who want it.”

Disponível em: <http://www.huffpostbrasil.com/entry/acog- wants-to-make-vaginal-birth-after-c-section-available-to -way-more moms_us_59ef88f8e4b0bf1f883653bc>. Acesso em: 30 out. 2017.

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