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VBAC: A husband’s experience and lessons learned

 

“I have just seen so many women who have husbands who aren’t supportive because they don’t understand. My husband would love to help more men understand.”

A couple recently shared their VBA2C (vaginal birth after two cesareans) journey with me.  It touched my heart.  My the time I was done reading it, I [...]

Write for VBAC Facts: Hospital VBAC Ban Reversals

howwereversedvbacban

I’m so excited to announce a new series on VBAC ban reversals. My objective with this series is to show that hospitals do reverse their bans and to give other hospitals a blueprint for how they can do the same. So, if you work for a hospital that has reversed their VBAC ban and you would like to share your experience with other hospitals via vbacfacts.com, please contact me. Submissions can be anonymous and do not need to provide the hospital’s name. [...]

Birth Plan Radio Show Notes

old fashioned radio

I was recently interview by Roanna Rosewood of Birth Plan Radio.  You can listen to the show here.  Below you will find links where you can read more about the various topics discussed.

Show Notes

The history of VBAC bans, Jen’s cesarean and then VBAC.

Jen’s unique form of advocacy.

ACOG’s 2010 VBAC recommendations

The [...]

Why cesareans are a big deal to you, your wife, and your daughter

Surgeon Operating on a Patient

I hear a lot, “What’s the big deal about cesareans? What difference does it really make if you have a cesarean?” Of course, if a cesarean is medically necessary, then the benefits outweigh the risks. But in the absence of a medical reason, the risks of cesareans must be carefully considered. [...]

VBAC bans, exercising your rights, and when to contact an attorney

Gavel and Law Books

“Does the hospital have the right to stop contractions and section the patient? This is what I’m hearing in my birthing community and I really cannot believe a hospital would/could do that.” [...]

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, [...]

Options for mom who will be “forced” to have a repeat cesarean

legal

I just received this email tonight and need ideas quick. This term mom seeking VBA2C is in the the Columbia area of South Carolina. Her OB was supportive until 37 weeks. Her cesarean is scheduled in two days on March 5, 2012. She was told that if she shows up in labor, she will be “forced” to have a cesarean. Does anyone know of a care provider in her area that would be willing to accept a new client this late in pregnancy? What other options does she have? Additionally, I’m looking for information on the legality of a hospital/OB “forcing” a c/s? What happens if she shows up at the current hospital and refuses to sign the c/s consent form? What exactly CAN they do?? [...]

Studies find pregnant women with prior cesarean choose the delivery method preferred by their doctor

definition decision

“When patients perceived that their doctor preferred a repeat cesarean, very few chose to undergo trial of labor, whereas the majority chose trial of labor if that was their doctor’s preference.” Additionally, 73% of the women admitted for a ERCS did not know the chances of a successful VBAC and 64% did not know the risk of uterine rupture. 54% of women choosing a TOLAC did not know the chances of a successful VBAC and 45% did not know the risk of rupture! [...]

Mom encounters VBAC ban and requests advice

hospital-vbac-bans

A mom seeking a VBAC runs into major roadblocks at her local hospital which has a VBAC ban. VBAC Facts compiled a list of options based on real live decisions of women who VBACed despite bans. Did you deliver at a VBAC ban hospital? What was your strategy? Are you a health care provider at a VBAC ban hospital and have some insight? [...]

Do intrauterine pressure catheters make VBAC safer?

internalmonitor

A mom planning a VBA1C (vaginal birth after one cesarean) at a Southern California Kaiser recently emailed me. She discovered while interviewing her care provider and asking how they treat VBAC labors differently than non-VBAC labors (an excellent question), that they require intrauterine pressure catheters (IUPC) in all VBAC labors. She wanted to [...]

Contra Costa Regional Medical Center Supports VBAC & Wins Award

Below I’ve included an article from MartinezPatch and I highlighted some sections.  This hospital boasts a 90% VBAC success rate.  That is huge!

As I shared in A father asks “Why invite the risk of VBAC?:

I had the opportunity to attend the March 2010 National Institutes of Health VBAC Conference where the ability of [...]

Finding VBAC statistics for your hospital and state

Update 4/11/12: Since I wrote this article, the brilliant Jill Arnold from the Unnecesarean started a new website where she shares cesarean rates by hospital: CesareanRates.com.  I would recommend checking this resource first before trying out the strategies I describe below.

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Jeri left this comment at I’m pregnant and want a VBAC, what do [...]

Response to OB: Scare tactics vs. informed consent aka why I started this website

I receive this comment on the post Hospital VBAC turned CS due to constant scare tactics:

I am very disheartened by the tone of this website. I am a board certified Ob/gyn and a very strong advocate for VBACs, IF a patient chooses one within the hospital guidelines. I DO believe and say to my [...]

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 [...]