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Another VBAC consult misinforms

What disappointed me, however, was the NIH VBAC conference panel’s surprise at the misinformation and bait & switch tactics to which many women are subjected. I think when you are a VBAC supportive practitioner, it may be hard to believe that your colleagues practice in a manner like I describe below. [...]

Interview with Dr. Fischbein: An Inside Look at Hospitals and VBAC Bans

Q: Don’t hospitals ban VBAC because it is dangerous? A: They ban VBACs under the guise of patient safety. But patient safety is a euphemism for “we don’t have a good evidence-based reason to do it, other than we don’t want to get sued, it’s more expedient, and we make more money from c-sections—the hospital does, not necessarily the physician, but the hospital does—so we’re going to ban it because it’s easier for us, and we’re going to say it’s for patient safety because of the risk of rupturing the uterus.” [...]

Hospital’s Oxytocin Protocol Change Sharply Reduces Emergency C-Section Deliveries

This article published June 19, 2009 demonstrates one hospital’s experience when they changed their oxytocin (Pitocin) protocol.

I’ve included the entire article below and have emphasized what I consider to be the most interesting parts.

Hospital’s Oxytocin Protocol Change Sharply Reduces Emergency C-Section Deliveries By Betsy Bates Elsevier Global Medical News Conferences in Depth

CHICAGO [...]

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

“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.” [...]

If VBAC is reasonable, why does my OB say it is dangerous?

This is a question that I’ve heard a lot.

Here is the three second answer: VBACs got a bad rap in the 1990s before we understood the increased risk of rupture during an induced VBAC labor, especially with Cytotec.  Even if your OB is supportive, s/he may be under pressure from hospital administrators, or other [...]

Neonatal nurse has a homebirth VBAC

This is a great birth story, published with permission, of a woman who had a cesarean for “small pelvis” and then VBACed a larger baby at home!  Since she is a neonatal nurse, it’s interesting to read why she chose HBAC and how she thinks her birth would have gone differently had she labored in [...]

A RN’s Perspective on the 2 NJ CS Deaths & Her Own Birth Experience

As I’m sure you can imagine there was much discussion on the ICAN list of the two moms who died within days of each other after their cesareans at Underwood, a New Jersey hospital.

I’m sharing the following post, with permission.

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I am a registered nurse, and have no intention of ever working within [...]