Tuesday, 01 March 2005 00:00
2003 U.S. Rates
- Total Cesarean Rate: 27.6% up 6% from 2002
- Primary Cesarean Rate: 19.1% up 6% from 2002
- VBAC Rate: 10.6% down 16% from 2002
“This whole situation is the result of the American College of OBGYN’s in 1999 changing their guidelines for VBAC in response to medical/legal concerns to require that a physician be immediately available during an entire VBAC labour. This has been interpreted by hospitals, especially those in the more rural areas, to require around the clock emergency cesarean capabilities. Now there are complications that can arise in any labour, even if there is no VBAC issue. So if a hospital isn’t safe enough for a mother to have a VBAC in, it’s not safe for her to have her baby in period. I understand that it is a risk/benefit analysis for the physicians in the hospitals and it’s all coming back to the bottom line, and that’s unconscionable.”
Tonya Jamois, president of the International Cesarean Awareness Network (ICAN) Inc., during an interview on “Today,” November 30, 2004.
This article appeared in Pathways to Family Wellness magazine, Issue #05.
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