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Hospitals around the country are now banning vaginal birth after cesarean delivery

Currently the right of a woman to be involvedgreater risk for uterine rupture than what
in her birth plan is being crushed under thewas once believed. Uterine rupture can be
weight of new laws and strict healthcarelife threatening for both the mother and her
limitations that prevent a vaginal birthbaby. Some patients with uterine rupture may
after  having  had  a  cesarean  delivery.require a hysterectomy and some infants may
die. The controversy that arises with the
Are you hoping to experience a vaginal birthrisks associated with vaginal birth after
after having had a cesarean delivery? You maycesarean delivery is that many women are
find your hopes are squelched by modernwilling to take the risk, but their freedom
practitioners.of choice over who controls childbirth is
being steamrolled by physicians and
Hospitals around the country are now banninghospitals. Women are not being allowed to
vaginal birth after cesarean delivery andhave a choice in their mode of delivery.
insisting women undergo repeat cesareanDoctors say their position is based on
delivery. Hospitals say they cannot complyconcern  for  the  patient's  safety.
with the guidelines issued in 1999 by the
American College of Obstetricians andDoctors now have a new worry that women
Gynecologists. The guidelines call for atrying to avoid repeat cesarean delivery may
doctor to be available "immediately"give birth at home or in birthing centers
throughout active labor when a woman isthat are not equipped to perform emergency
attempting a vaginal birth after cesareancesarean surgeries if necessary. Also of
delivery, in order to perform an emergencyconcern is the possibility that laboring
cesarean section if needed. Previouspatients may wait to the last moment to go to
guidelines had called for a physician to bethe hospital to avoid repeat cesarean
"readily" available. In order for a hospitalsection.
to comply with the new recommended
guidelines, a whole operating crew, anThe controversy surrounding vaginal birth
anesthesiologist and obstetrician would haveafter cesarean delivery is not only a health
to be in the hospital around the clock. Onlycare issue, it is becoming a women's civil
major medical centers, with in houserights issue. A woman should have the right
physicians, will be able to continue to offerto choose her mode of delivery. Currently the
vaginal birth after cesarean delivery.right of a woman to be involved in her birth
Smaller hospitals may now have to abandon theplan is being crushed under the weight of new
practice.laws and strict healthcare limitations that
should be a cause for concern for all women
Why the controversy? Women attempting vaginalacross the nation.
birth after cesarean delivery are at a



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