Vaginal birth after cesarean section: the impact of patient resistance to a trial of labor

Article Abstract:

In the past it has been common practice to recommend delivery by cesarean section (delivery through the abdomen) to all women who previously had cesarean deliveries. However, in recent years it has become apparent that women who have had a cesarean section can have a vaginal birth after cesarean section (VBAC). Many studies have shown that VBAC is safe and has a low incidence of complications. The American College of Obstetricians and Gynecologists recommends that women who have had a cesarean section should be encouraged to attempt vaginal delivery in subsequent pregnancies. Even though VBAC is safe and is encouraged by obstetricians, many women choose to have a repeat cesarean section. One hundred and forty-three pregnant women who had cesarean sections in the past were studied to determine why some women who are eligible for VBAC choose to have a repeat cesarean section. Of the 143 women, 40 were advised by their obstetricians that they should not have VBAC. The remaining 103 women were encouraged to have VBAC. Fifty-nine percent of the women initially attempted VBAC, but only 36 percent actually followed through with these plans. Sixty-four percent of the women ultimately chose to have a repeat cesarean section. The most common reasons given for deciding to have a repeat cesarean section instead of VBAC were fear of labor, convenience of a scheduled delivery, and fear of recurrent outcome that caused their first cesarean section. (Consumer Summary produced by Reliance Medical Information, Inc.)

Planning, Beliefs, opinions and attitudes, Pregnant women, Cesarean section, Vaginal birth after cesarean

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Perinatal outcomes in preeclampsia that is complicated by massive proteinuria

Article Abstract:

Pregnant women with preeclampsia who excrete more than 10 grams of protein in their urine within 24 hours probably do not need an emergency delivery, according to a study of 209 women. The outcomes of the women and their babies were similar regardless of how much protein they excreted in their urine. Protein in the urine is a sign of kidney disease and is common in pregnant women with preeclampsia.

Health aspects, Patient outcomes, Prognosis, Proteinuria

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A prospective randomized trial of magnesium sulfate in severe preeclampsia: Use of diuresis as a clinical parameter to determine the duration of postpartum therapy

Article Abstract:

The use of the onset of diuresis in the determination of the duration of postpartum magnesium sulfate therapy among patients with severe preeclampsia is assessed. It is concluded that the use of diuresis in the postpartum period is associated with no outward outcomes or need for the re-initiation of treatment.

United States, Science & research, All Other Basic Inorganic Chemical Manufacturing, Industrial inorganic chemicals, not elsewhere classified, Magnesium Sulfate, Research

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