Older Posts

Categories

Woman has 4th cesarean, 8 hour surgery, and requires 33 gallons of blood

What a miracle this woman survived!  This was her fifth baby and fourth cesarean.

She had a complication known as placenta percreta which is when “the placenta attaches itself and grows through the uterus, sometimes extending to nearby organs, such as the bladder” (March of Dimes 2012).  The risk of having placenta accreta, increta, [...]

Chipping away at the “too posh to push” myth

Some new research questions the idea that women who are “too posh to push” are responsible for America’s rising cesarean rate. The work of University of Arizona sociologist Louise Roth has been featured in an University of Arizona UA News article dated April 13, 2012.

Watch for Roth’s research which will be “published in the [...]

Placenta problems in VBAMC/ after multiple repeat cesareans

elevatorup

I thought that I would take the data from the Silver (2006) that I’ve previously discussed and share it in a different way that would be helpful to women with multiple prior cesareans.  (You might find it worthwhile to read this article specifically, where you can view the data below in graphs, as well as [...]

Just kicking the can of risk down the road

If primary and secondary cesarean rates continue to rise as they have in recent years, by 2020 the cesarean delivery rate will be 56.2%, and there will be an additional 6236 placenta previas, 4504 placenta accretas, and 130 maternal deaths annually. The rise in these complications will lag behind the rise in cesareans by approximately 6 years. [...]

Cesarean Section Consent Form

From Another VBAC Consult Misinforms:

[My OB] did not mention risks to repeat c-sections.  When I brought it up he said there aren’t any except the obvious risks that come with any surgery.

It’s because some OBs continue to mislead their patients about the risks of cesareans that I share this excellent cesarean section consent [...]

The Risks of Cesarean Section

We all know the primary risk of VBAC – uterine rupture.  And when your typical VBACing mom meets with an OB, she must sign a “VBAC consent form” acknowledging that she understands this risk.  However, I find it ironic that women signing up for a repeat cesarean are not required by their OB to sign [...]

An OB you like or who makes you comfortable isn’t enough

Many women do not interview OBs/midwives when selecting their VBAC care provider.  They either stay with the GYN who has been providing their well-woman care or the same OB who performed their cesarean because they like them.

Women they really believe that if they are good patients, if they are friendly, if they don’t [...]

Risk of serious complications increase with each cesarean surgery

Shows the rates of placenta accreta in up to six cesareans (Silver 2006).

Per Silver (2006), “The risks of placenta accreta, cystotomy [surgical incision of the urinary bladder], bowel injury, ureteral [ureters are muscular ducts that propel urine from the kidneys to the urinary bladder] injury, and ileus [disruption of the normal propulsive gastrointestinal motor activity], the need for postoperative ventilation, intensive care unit admission, hysterectomy, and blood transfusion requiring 4 or more units, and the duration of operative time and hospital stay significantly increased with increasing number of cesarean deliveries.” [...]

VBAC & Cesarean Rates of California Hospitals, 2007

This information is so important for any woman seeking VBAC.  It’s not enough that your hospital “allows” VBAC.  In order to see how supportive that hospital is of vaginal birth, you need to know what their VBAC rate is in addition to their primary CS rate.  Be sure to read, “Why if your hospital ‘allows’ [...]

Article in Time Magazine examining VBAC vs. Repeat Cesarean

What a great piece on VBAC vs. repeat cesarean. It gives an excellent summary of the history of VBAC, the influence of ACOG’s recommendations, as well as how malpractice insurance effects the choices available to women with prior cesareans.

A couple excerpts:

Indeed, the International Cesarean Awareness Network (ICAN), a grass-roots group, recently called 2,850 [...]

VBAC vs. Repeat Cesarean by the American Academy of Family Physicians

This is a great piece for deciding between VBAC and repeat cesarean.  Those who wish to VBAC, but have husbands, family, and/or friends who don’t understand why, might find this document very useful.  I have found that people who are anti-VBAC really seem impressed by what doctors and medical organizations have to say, so I’m [...]

Cesarean Risks: Adhesions

This is a comprehensive article on adhesions which is a fancy word for scar tissue.  I think the most relevant points of this whole discussion are:

Adhesions “develop in 93% of people who have undergone pelvic surgery” and “they are especially common after cesarean sections.” You get more adhesions with each cesarean. Adhesions can cause: [...]

Cesarean Risks: Overview

We all know the primary risk of VBAC – uterine rupture.  And when your typical VBACing mom meets with an OB, she must sign a “VBAC consent form” acknowledging that she understands this risk.  However, I find it ironic that women signing up for a repeat cesarean are not required by their OB to sign [...]