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Some people think I’m anti-this/ pro-that: My advocacy style

stack of rocks balancing in grass

The way I do things

I have a little different method  of advocacy with which you may be unfamiliar. Rather than advocating for a specific decision, I advocate for access to information. Specifically, the mission of VBAC Facts is to make hard-to-find, interesting, and pertinent information relative to post-cesarean birth options easily accessible [...]

Myth: Risk of uterine rupture doesn’t change much after a cesarean

myth versus reality

1/18/12 – The difference in uterine rupture (UR) rates between unscarred and scarred uteri is significant: 1 in 14,286 in an unscarred uterus and 1 in 156 in a scarred uterus.  Another way to express this is: 0.7 in 10,000 (0.007%) in an unscarred uterus and 64 in 10,000 (0.64%) [...]

Reply turned post, “You say this is for the number crunchers but I find that rather laughable”

I recently received this comment from Angie in response to Homebirth vs hospital birth for the number cruncher:

You give statistics but don’t list any of the sources. If you want to lend any kind of credibility to this article you really should consider actually posting where you got your information from. Not to mention [...]

Perinatal Death Low with Home Births

perinatal = “occurring during the period around birth (5 months before and 1 month after)” (wordnetweb.princeton.edu/perl/webwn)

Perinatal Death Low with Home Births

By Nancy Walsh, Contributing Writer, MedPage Today Published: August 31, 2009 Reviewed by Robert Jasmer, MD; Associate Clinical Professor of Medicine, University of California, San Francisco and Dorothy Caputo, MA, RN, BC-ADM, CDE, [...]

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

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)

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 [...]

Labor Note Cards

I’m currently visiting a friend who is expecting her first baby in late August.  I’m so excited for her and am trying to give her all the great books and resources that I have been distilled from the endless choices out there without overwhelming her with my excitement, information, and ability to talk endlessly about [...]

I’m pregnant and want a VBAC, what do I do?

I recently received this comment.

Hi…thank you so much for your site! Very informative. I live in Glendale and I had a c-section last year with my first daughter. I went in to be induced even though I wasn’t looking forward to it. No contractions. No mucus plug. No water broken. I guess I just [...]

Come to the Oaks House Open House and Meet Me!

If you are in Southern California this weekend, come support a local midwife, explore her birth center, watch Orgasmic Birth, and meet me!  I’ll be there the whole time, so if you want to chat, have questions, or just need some encouragement, come on by!

You will be able to tell who I am easily.  [...]

List of midwives and birth centers in Southern California

Looking to have a homebirth or birth center birth in Southern California? 

This is the most complete list I’ve ever seen. 

Not all of these midwives attend VBAC. 

Thank you to Sherry Rumsey for putting this together.

From Sherry:

I would like to ensure that the information being provided is accurate.  If you are a [...]

Rebutting Dr. Amy’s Information

Last night I wrote Homebirth vs hospital birth for the number cruncher and the famous Dr. Amy commented on the piece.

“Women choose to give birth in hospitals because they believe it is “safer” than birth outside the hospital. ” Birth in the hospital is safer. The only people who appear to be unaware of [...]

Homebirth vs hospital birth for the number cruncher


I’m a hard number cruncher. But there are major limitations if you are going to rely solely on case controlled studies to decide between home and hospital birth. There are so many variables and nuances that haven’t been “number crunched” to that extent but make a HUGE difference in the how your birth progresses and the ultimate outcome. [...]

OB lists reasons for rising cesarean rate

7/13/10:  I updated this article, almost two years to the day it was originally published, in response to some comments left on a message board indicating that some women believed after reading the article that I thought all cesareans were unnecessary.  Of course, nothing can be further from the truth.  There are many reasons for [...]