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Repeat cesarean due to 130/100 blood pressure?

A woman seeking VBAC currently has her 130/100 blood pressure under control with the help of medication, yet her OB is recommending a repeat cesarean. Jen collects and shares information and opinions from the Mayo Clinic, OBs, midwives, doulas, and moms including questions for the mom to ask of her OB. [...]

Confusing math misleads women on uterine rupture and mortality risk

VBAC Facts reviews a blog post that shares a study on VBAC along with statistics the blogger calculates, many of which misrepresents the risk of uterine rupture and infant mortality during a VBAC attempt demonstrating why it is important to not only know the source of the statistics, but also know that the blogger can do simple math. [...]

Myth: Unscarred mom induced as likely as VBAC mom to rupture

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 [...]

Myth: Unscarred mom induced as likely as VBAC mom to rupture

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 [...]

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 [...]

“Pit to Distress” – A significant risk of hospital birth

There are two things women generally believe about OBs:

1. Their OB would never do anything to put them or their baby in harm’s way,

2. If their OB gives them a drug, or recommends a procedure, that’s only because the benefits outweigh the risks.

Unfortunately, both of those things are not always true.

Women [...]

“Pit to Distress”: Your Ticket to an “Emergency” Cesarean?

Last week I wrote about a hospital reduced it’s use of Pitocin and found that their emergency cesarean rate decreased.

Then today I run across this new term “Pit to Distress” at unnecesarean.com:

“Pitocin is used like candy in the OB world, and that’s one of the reasons for medical and legal risk,” says Carla [...]

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 protocol.

Note that they refer to oxytocin, but oxytocin is produced in a woman’s body and causes uterine contractions during labor whereas Pitocin, which is what they are likely referring to, is “synthetic oxytocin sold as medication.”  There is a [...]

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 [...]

Comprehensive chart on uterine rupture measuring multiple variables

This article entitled Uterine Rupture in Pregnancy from eMedicine dated January 2008 is a gold-mine of information about uterine rupture.  Below is a chart which is a compilation of studies from the 1930s to 2002.  I really wish they would update this to include the studies performed in the last six years. 

This part [...]

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 [...]