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      Cesarean Awareness Month 2014 on QuizRevolution

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      Cesarean Awareness Month 2014
      myStudiyo Media
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      Cesarean Awareness Month 2014
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      The overall success rate of all women attempting a VBAC is approximately 50%
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      Comments:
      1. The overall success rate of all women attempting a VBAC is approximately 50%
        1. True
        2. False

        1. The overall success rate of all women attempting a VBAC is between 60-80%.

          Harper, L. M., & Macones, G. A. (2008). Predicting success and reducing the risks when attempting vaginal birth after cesarean. Obstetrical & gynecological survey, 63(8), 538-545.

      2. 43% of all hospitals in the USA have either an outright VBAC ban or a de facto VBAC ban .
        1. True
        2. False

        1. The International Cesarean Awareness Network and a team of their volunteers surveyed US hospitals and tallied all the facilities that either had an outright ban on TOAC/VBAC or a de facto ban. De facto is defined as a hospital that indicates there is no official policy against VBAC but in reality there are no doctors who will agree to attend one. Our callers asked a series of questions to try to accurately identify hospitals where there is no official ban but there is no option for VBAC.

          http://ican-online.org/vbac-ban-info

      3. Uterine rupture rate in women w/1 prior low transverse incision is considered to be 0.5%
        1. True
        2. False

        1. 1 in 200 (0.5%) of women with one prior low transverse uterine incision will experience a rupture in a future TOLAC.

          Landon, M. B., Hauth, J. C., Leveno, K. J., Spong, C. Y., Leindecker, S., Varner, M. W., & Gabbe, S. G. (2004). Maternal and perinatal outcomes associated with a trial of labor after prior cesarean delivery. New England Journal of Medicine, 351(25), 2581-2589.

      4. ACOG states women with 2 previous low-transverse c/s incisions are TOLAC candidates.
        1. True
        2. False

        1. ACOG states that women with two previous low-transverse cesarean incisions, women carrying twins, and women with an unknown type of uterine scar are considered appropriate candidates for a TOLAC.

          Vaginal birth after previous cesarean delivery. Practice Bulletin 115. American Congress of Obstetricians and Gynecologists. ObstetGynecol 2010 116:450-63.

      5. Pitocin with a TOLAC increases the UR rate to 3%.
        1. True
        2. False

        1. Using pitocin during a TOLAC doubles the uterine rupture rate to 1 in 100 women (1%)

          Guise, J.-M., Eden, K., Emeis, C., Denman, M., Marshall, N., Fu, R., .McDonagh, M. (2010). Vaginal Birth After Cesarean: New Insights. Rockville (MD): Agency for Healthcare Research and Quality (US). Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK44571/

      6. 2.8-6.2% of uterine ruptures result in an infant death
        1. True
        2. False

        1. Of women who delivered at term, the risk of perinatal death rate from uterine rupture is 2.8% When you take delivery at any point during the pregnancy, the perinatal death rate was 6.2%

          Guise, J.-M., Eden, K., Emeis, C., Denman, M., Marshall, N., Fu, R., McDonagh, M. (2010). Vaginal Birth After Cesarean: New Insights. Rockville (MD): Agency for Healthcare Research and Quality (US). Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK44571/

      7. Maternal mortality for elective repeat c/s is almost 4 times as high as a TOL.
        1. True
        2. False

        1. Maternal mortality for an elective repeat cesarean is 13.4/100,000 and for a trial of labor it is 3.8/100,000.

          Guise, J.-M., Eden, K., Emeis, C., Denman, M., Marshall, N., Fu, R.,McDonagh, M. (2010). Vaginal Birth After Cesarean: New Insights. Rockville (MD): Agency for Healthcare Research and Quality (US). Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK44571/

      8. 48% of all women who had a previous cesarean would like to VBAC.
        1. True
        2. False

        1. Listening to Mothers III stated that 48% of all mothers with a prior cesarean would like to pursue the option of a TOLAC/VBAC.

          Declercq, E. R., Sakala, C., Corry, M. P., Applebaum, S., & Herrlich, A. (2013). Listening to mothers III: pregnancy and birth. New York (NY): Childbirth Connection.

      9. 46% of all women who would like to VBAC were denied the opportunity.
        1. True
        2. False

        1. When women wanted to VBAC, they were often not given the option to have a trial of labor, or their hospital had a VBAC ban in place.

          Declercq, E. R., Sakala, C., Corry, M. P., Applebaum, S., & Herrlich, A. (2013). Listening to mothers III: pregnancy and birth. New York (NY): Childbirth Connection.

      10. 10.0% of all women with a prior cesarean who birth again have a VBAC.
        1. True
        2. False

        1. Of all the women who go on to birth after a cesarean, only 10.0% of them do so by VBAC.

          ftp://ftp.cdc.gov/pub/Health_Statistics/NCHS/Dataset_Documentation/DVS/natality/UserGuide2012.pdf

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