e suspected of being large (Kmom, 2001). However, most studies have not found higher rates of uterine rupture with macrosomic (big) babies. Because of this exclusion, there is little data available on VBA2+C, but it should probably not be used to exclude a woman from trying TOL with such a high rate of false positives in predicting macrosomic babies. The success rate for VBAC babies tend to be somewhat lower with macrosomic babies, and yet most women who have a C-section for CPD go on to have successful VBAC babies even larger than their CPD babies, suggesting a number of factors are probably at work.
It is possible that larger babies need more ôwriggle roomö than smaller babies; larger babies may have more trouble readjusting their position to fit through the pelvis; physicians may be less likely to risk a VBAC with large babies; labor is often induced early in the hopes of reducing the chances of a C-section, even though studies show that inducing labor early increases the chances of needing a C-section (Kmom, 2001). None of the studies so far o
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