Turn the Tide of Cesareans
I was pleased to learn about a presentation at the Society for Maternal-Fetal Medicine's (SMFM) annual meeting in January, 2009, about a study (albeit small) that showed that by using a sonogram to measure the lower uterine segment (LUS) thickness of the uterus, doctors could successfully predict uterine scar defects in women who had previous cesarean deliveries. This would allow them to determine which patients are at risk for subsequent uterine rupture if they attempt vaginal birth after c-section (VBAC).
Such a method could go a long way in preventing cesareans, and also could give some ammunition to women who are now being denied VBACs throughout the US under the guise of “risk,” often uterine rupture. Perhaps this is the first step we need to turn the tide, giving the evidence needed for malpractice lawsuits against doctors who are more concerned about their own schedules and pocketbooks than the well-being of women and babies.
To read an article about this study, go to Reuters Health Information
Cheryl K. Smith, Midwifery Today Managing Editor
Also read these articles from the Midwifery Today site:
The VBAC and Cesarean Prevention Handbook has many articles by midwives, doulas and mothers on the powerful experience of VBAC.