Vaginal birth after caesarean section: clinical and legal perspectives.
Vaginal birth after Caesarean section (VBAC) is currently the preferred method of delivery for pregnant women who have undergone 1 previous low transverse Caesarean section. This common practice warrants some reconsideration in light of recent clinical data on the risks associated with VBAC, and it is incumbent upon clinicians to ensure that women under their care are fully aware of these risks. Indeed, in some circumstances, an attempt at VBAC may be perceived by the courts to represent a negligent standard of care.
Persadie
Richard J
RJ
Department of Obstetrics and Gynecology, St. Joseph's Healthcare, Hamilton, ON, Canada.
McDonagh
Rory J
RJ
D000328:Adult; D002170:Canada; D005260:Female; D006801:Humans; D015994:Incidence; D007258:Informed Consent; D016239:MEDLINE; D011247:Pregnancy; D011256:Pregnancy Outcome; D011787:Quality of Health Care; D012307:Risk Factors; D014219:Trial of Labor; D014597:Uterine Rupture / Q000453:epidemiology*; D016064:Vaginal Birth after Cesarean / Q000941:ethics* / Q000331:legislation & jurisprudence*