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Thursday, September 15, 2011

C-section not necessarily end to vaginal delivery

Victoria Colliver, of the SF Chronicle, writes in a posting on SF Gate about the occurrence of vaginal birth after a cessarian delivery:

"Women who live in the Bay Area have the highest rates in the state of delivering their babies vaginally after previously having undergone a cesarean section, according to statewide data release today."

UCSF is a leader in vaginal delivery births and also in the training for such. Below, we excerpt a section from Ms. Colliver's article that highlights our Ob training and delivery work.

Healthy mother, baby

Dr. James Anderson was trained in offering vaginal births after cesareans at UCSF and brought that philosophy with him when he started practicing in Fortuna more than 30 years ago.

"If that was good enough for them (UCSF), it was certainly good enough for us if we could get the appropriate team available and ready. After that, it was all she wrote," said Anderson, of Redwood Women's Center.

Anderson said physicians need to take the time to explain the risks and benefits. "It's obvious to me, as a physician, it's much simpler to tell the woman we're going to do a C-section at 10 o'clock on Tuesday because you're at 39 weeks and that's just how we're going to do it," he said.

Patricia (Patty) Robertson, MD, UCSF obstetrician and perinatologist"The bottom line is healthy mother, healthy baby," said Dr. Patricia Robertson, UCSF perinatologist (right). "That's the most important thing, no matter how they birth."

Healthy delivery

Robertson's patient Deborah Ryan delivered a healthy boy last week named Gabriel – 19 months after delivering his sister, Ellie, via C-section.

Ryan of San Francisco said she sought out UCSF because she wanted the experience of going through labor and to avoid the weeks of recovery that come with a C-section. A week after delivering, she said she's up and about and able to care for both children.

"We understood there were risks, so we wanted to be in a place that if something did happen, we were in the right place," said Ryan, 37. "I wanted that experience. I knew it was possible, and I knew I had a choice."

Read complete article here.

Visit our Obstetrics Services section for additional information.

Dr. Robertson's photo provided by UCSF.

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