Article: ACOG criticized for restricting rural VBACs.(Women's Health)(American College of Obstetricians and Gynecologists )(vaginal births after cesarean delivery )

NEW ORLEANS -- Neonatal and maternal mortality in California did not significantly change after the American College of Obstetricians and Gynecologists recommended that vaginal births be attempted after cesarean delivery only in settings with "immediately available" emergency care, according to one study.

John Zweifler, M.D., and research fellow Susan Hughes compared neonatal and maternal deaths from 1996 to 2002, before and after the 1999 recommendations from the American College of Obstetricians and Gynecologists. They reviewed maternal demographics, birth data, and out comes, noting previous cesarean sections and whether hospitals were in rural or urban areas. ...

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