RE: [ozmidwifery] Uterine Rupture Rates

[Dean & Jo]

To my knowledge there is no evidence to prove that rupture rates exceed about 1-3% with two or more cs.   He is talking shit David (as if we didn’t know) and you could argue that if DM’s rate of rupture is between the 5-20% then HE should be reported for endangering the child’s life.  I will send all the studies I can find today (well the details of them anyway) but have to do the school thing first.   Cheers Jo   -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Stringybark Sent: Monday, March 07, 2005 11:39 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Uterine Rupture Rates   Recently Dr David Molloy (President QLD AMA) was quoted as saying that "the risk of uterine rupture in a woman attempting VBAC is between five and twenty percent" (The Australian 4 Feb 2005). My research could only find scientific evidence showing rupture rates of between 0.3% (Henci Goer - Obstetric Myths and Research Realities, 1995, 42) and 2.45% (Lyndon-Rochelle, Holt, Easterling & Martin in the New England Journal of Medicine - 'Uterine Rupture During Labour Among Women with a Prior Caesarean Delivery 2001 v345:3-8) and that upper rate was only for prostaglandin induced labour. I wrote to Dr Molloy asking him for a reference to his research evidence for the five to twenty percent rupture rate. Today I receive his reply. It said simply: "This figure relates to a woman who has had two previous caesarean sections." He provided no reference for his figure. My question to the wise people on this forum, is can anyone tell me the reference for Dr Molloy's assertion? I have written to him again seeking a reference, but as I am keen to look at the evidence myself shortly, I can't wait. Thanks! David ----------------------------------------- David Vernon Editor Birthright — Having a Great Birth in Australia GPO Box 2314 CANBERRA CITY ACT 2601 AUSTRALIA --------------------------------------------- -- No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.6.0 - Release Date: 3/2/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.6.0 - Release Date: 3/2/2005