The cesarean delivery rate in the United States has increased from 4.5% in 1965 to 32.3% in 2008 (Guise JM, 2010). Meanwhile, the rate of Vaginal Birth after Cesarean (VBAC) has decreased from its peak of 28.3% ….
A very common concern among women as they approach delivery is preventing lacerations during vaginal delivery. Several options are available that may reduce the occurrence and severity of perineal (vaginal opening) lacerations.
FDA has concluded that the risk of serious adverse events outweighs any potential benefit to pregnant women receiving prolonged treatment with terbutaline injection (beyond 48-72 hours), or acute or prolonged treatment with oral terbutaline.