VBAC Facts » ACOG

Study: Two-Thirds of OB-GYN Clinical Guidelines Have No Basis in Science

Jen Kamel — Tue, 23 Aug 2011 04:40:54 +0000

PushNews from The Big Push for Midwives Campaign CONTACT: Katherine Prown, (414) 550-8025, katie@pushformidwives.org FOR IMMEDIATE RELEASE: August 15, 2011 Study: Two-Thirds of OB-GYN Clinical Guidelines Have No Basis in Science Majority of ACOG Recommendations for Patient Care Found to Be Based on Opinion and Inconsistent Evidence WASHINGTON, D.C. (August 15, 2011)—A study published [...]

VBAC Ban Rationale is Irrational

Jen Kamel — Fri, 23 Jul 2010 02:59:16 +0000

A reader asks, "my hospital says that they will do a vbac but they aren't set up for it because the labor side is far away from the c-section side so if i try to do a vbac and end up having a c section it will take a lot longer to get me to surgery. do you think this is a legitimate reason to consider not having a vbac?" [...]

ACOG issues less restrictive VBAC guidelines

Jen Kamel — Wed, 21 Jul 2010 22:57:40 +0000

Removing the "immediately available" standard while supporting VBAC with twins, after two prior cesareans, and with unknown scars is a huge step in the right direction. It seems that the option of VBAC is now available to hundreds of thousands of women, many of whom, up to this point, were left with no choice at all. [...]

Interview with Dr. Fischbein – An Inside Look at Hospitals & VBAC Bans

Jen Kamel — Tue, 08 Sep 2009 21:24:35 +0000

Stand and Deliver recently conducted an excellent interview with Dr. Stuart Fischbein, a Southern California VBAC and breech supportive OB. It’s an excellent read and I’m including my favorite parts below. You can read the entire article here: Stand and Deliver: Interview with Dr. Stuart J. Fischbein.

First, our definitions of the day:

Evidence-based medicine [...]

ACOG makes plea for bad out-of-hospital stories password protected

Jen Kamel — Tue, 01 Sep 2009 01:48:15 +0000

It’s interesting that ACOG is only interested in collecting stories of out-of-hospital births with poor outcomes… what about all the women who give birth in hospitals who otherwise would have had a completely normal labor and delivery but for the hospital procedures, unsupportive staff, and resulting stress? There are wonderful OBs and great hospitals, but [...]

Women gives birth vaginally in her car after three cesareans (VBA3C)

Jen Kamel — Wed, 29 Jul 2009 04:29:42 +0000

I love this! I meet women all the time whose confidence in their bodies has been dashed by the “failure to progress” diagnosis they received in past labors. This woman had three cesareans, all with that same diagnosis, because, as she says, she got to the hospital to early. And look what happens when she [...]

The Role of Interpretation – ACOG Refines Fetal Heart Rate Monitoring Guidelines

Jen Kamel — Thu, 25 Jun 2009 03:20:04 +0000

"Since 1980, the use of EFM has grown dramatically, from being used on 45% of pregnant women in labor to 85% in 2002," says George A. Macones, MD, who headed the development of the ACOG document. "Although EFM is the most common obstetric procedure today, unfortunately it hasn't reduced perinatal mortality or the risk of cerebral palsy. In fact, the rate of cerebral palsy has essentially remained the same since World War II despite fetal monitoring and all of our advancements in treatments and interventions." [...]