Inducing labor doesn’t raise risk of uterine rupture in VBAC

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Inducing labor doesn’t increase the risk of uterine rupture, once length of labor is taken into account, in women attempting vaginal delivery after a cesarean delivery ...

... After accounting for length of labor using a time-to-event analysis, researchers found that the risk of uterine rupture with induced labor was similar to that of spontaneous labor ... Women with an initial unfavorable cervical exam (<4 cm dilation) had a higher risk of uterine rupture with induced labor than spontaneous labor ... and those with cervical dilation <2 cm and 2 cm-3.9 cm on the initial exam were at greatest risk.

Women who undergo induced labor may spend more time in active labor than those with spontaneous labor ...

Interesting research, as common understanding has it that induction is never a wise choice in a VBAC, and many women who need an induction who have previously had a caesarean are advised to undergo a repeat caesarean. If induction can be safely carried out, this would help to reduce our high caesarean rates.

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