An Obstetrician's Lament
Department of Women's Health, Sutter West Medical Group, Davis, California 95616, USA.Obstetrics and Gynecology (Impact Factor: 4.37). 05/2011; 117(5):1188-90. DOI: 10.1097/AOG.0b013e31820c9cab
Contraception 01/2012; 85(1):128-9; author reply 129. DOI:10.1016/j.contraception.2011.05.005 · 3.09 Impact Factor
[Show abstract] [Hide abstract]
ABSTRACT: To examine trends and characteristics of home vaginal birth after cesarean delivery (VBAC) in the United States and selected states from 1990-2008. Birth certificate data were used to track trends in home and hospital VBACs from 1990-2008. Data on planned home VBAC were analyzed by sociodemographic and medical characteristics for the 25 states reporting this information in 2008 and compared with hospital VBAC data. In 2008, there were approximately 42,000 hospital VBACs and approximately 1,000 home VBACs in the United States, up from 664 in 2003 and 656 in 1990. The percentage of home births that were VBACs increased from less than 1% in 1996 to 4% in 2008, whereas the percentage of hospital births that were VBACs decreased from 3% in 1996 to 1% in 2008. Planned home VBACs had a lower risk profile than hospital VBACs with fewer births to teenagers, unmarried women, or smokers; fewer preterm or low-birth-weight deliveries; and higher maternal education levels. Recent increases in the proportion of U.S. women with a prior cesarean delivery mean that an increasing number of women are faced with the choice and associated risks of either VBAC or repeat cesarean delivery. Recent restrictions in hospital VBAC availability have coincided with increases in home VBACs; however, home VBAC remains rare, with approximately 1,000 occurrences in 2008. II.Obstetrics and Gynecology 04/2012; 119(4):737-44. DOI:10.1097/AOG.0b013e31824bb050 · 4.37 Impact Factor
Contraception 07/2011; 85(1). DOI:10.1016/j.contraception.2011.05.006 · 3.09 Impact Factor
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.