Older Posts

Induction is wrong, wrong, wrong… wait, what?

Success and Failure Road Sign with dramatic clouds and sky.

I hear all the time how induction in VBAC is contraindicated. This is false. This is the kind of misinformation that materializes when we demonize all induction rather than specifying that elective inductions are not worth the increased risks.

It’s important to use clear, specific language when we talk about birth because there is a [...]

Evening primrose oil: “Don’t use it if you are pregnant?”

EPO

Many moms and midwives use evening primrose oil (EPO) for cervical ripening. So I was absolutely shocked at the complete lack of evidence on the effectiveness and safety of EPO among pregnant women. There is one study that examined the oral use EPO during pregnancy. It concluded EPO didn’t work as we expected it to and further, women who took EPO were more likely to experience a whole host of complications. Shockingly, there are no studies on the vaginal use of EPO during pregnancy. In short, there is insufficient clinical evidence documenting the risks and benefits of EPO and without that information, should pregnant women take it? [...]

Myth: VBACs should never be induced

IVdrip

Spontaneous labor is always preferable to induced or augmented labor but there are medical conditions that can necessitate the immediate birth of a baby. It’s nice for those women for whom vaginal birth is still an option to have a choice: gentle induction/ augmentation or repeat cesarean. Of course, informed consent reviewing the risks and benefits of their options is essential. Some women might be more comfortable scheduling a cesarean whereas others might want to give a gentle Pitocin and/or Foley catheter induction a go. [...]

Myth: Induced unscarred mom as likely as VBAC mom to rupture

Fact or Myth

Update 1/20/12 – Someone who believed this birth myth to be true, told me that the source of this information was an OB from St. Louis who presented at the 2011 ICAN conference. I contacted ICAN and they said that the person must be referring to Dr. George Macones. Yet, no one on the ICAN [...]

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 [...]

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 [...]

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 [...]

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 [...]

Should we blame women or doctors?

This post on a pregnancy message board under the subject “Inducing at 38 weeks” was the catalyst of a discussion on the ICAN email list (emphasis mine):

I’m for it! There is NOTHING wrong with me, actually not even THAT uncomfortable (knock on wood!), and my Dr. is inducing me at 38 1/2 weeks! The [...]