Saturday, January 23, 2010

Health officials look at C-section rates in Ohio

By HARLAN SPECTOR, The Associated Press 2:21 PM Friday, January 22, 2010

Erin Denney, a 38-year-old mother of six, would not be counted in the new state measure because her first three children were born by C-section. But Denney said she ran up against cultural resistance when she sought to deliver her later children vaginally.

Her story highlights another reason C-section rates are high. A growing number of hospitals nationwide have banned vaginal births after C-section, due to risk of rupture of the uterus. That risk for women with the most common type of incision is 0.2 percent to 1.5 percent, according to the Mayo Clinic's online "Vaginal Birth After Cesarean (VBAC) Guide."

About one-quarter of obstetrician-gynecologists said in 2009 that they stopped performing vaginal deliveries after C-section because of liability concerns, according to a professional society survey.

The practice is driving the national C-section rate, according to the International Cesarean Awareness Network.

Denney, who lives in Parma Heights, said she had to search hard to find providers that would allow her to give birth naturally.

"They will push you to have a C-section," she said. "It's actually safer to VBAC than to have a C-section."…

Health officials look at C-section rates in Ohio

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