Intended for healthcare professionals

Rapid response to:

News Roundup [abridged Versions Appear In The Paper Journal]

Vaginal delivery after caesarean section triples risk of uterine rupture

BMJ 2001; 323 doi: (Published 14 July 2001) Cite this as: BMJ 2001;323:68

Rapid Response:

Not Just Statistics

Thank goodness there are articles such as this one available on the
Internet. Being a survivor of a Uterine Rupture gives one very strong
opinions about VBAC. Trying to keep an open mind I constantly research
information on the Internet. I only wish I had known to do this research
before attempting VBAC.

Obviously the comments against this article are coming from
organizations and groups that have a direct financial stake in continuing
to perform VBACs. The American College of Obstetricians and Gynecologists
is now recommending that VBACs not be allowed in places where they can't
do emergency cesareans (what a unique idea to have a VBAC in the
hospital!). The midwives hate this because that cuts them out of all the
VBAC deliveries they have done at non-hospital birthing centers in the

Having experienced 3 C-sections, I have trouble understanding what
the problem is with scheduling a C-section. All of my children are normal
and healthy and none of us regret the way in which they were brought into
the world. The sadness one may feel at the loss of a vaginal delivery
cannot even BEGIN to be compared to the loss of losing the child you have
carried for 9 months, and lost due to a Uterine Rupture with attempted

Hopefully articles such as this one will continue to be available on
the Internet. Women must be allowed to make an informed decision for
their birth plan. I just hope that as they read the statistics, they keep
in mind those small percentages are very real and very life threatening to
themselves and their babies. I never thought I would be one of those
small percentages.

Competing interests:  
None declared

Competing interests: No competing interests

03 January 2003
G.L. Plymale
Rupture Survivor
Allen, Tx 75013