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What Jen Kamel told the Medical Board about home VBAC, Part I

prental yoga

My intention in attending this meeting was to amplify the voice of the consumer. I think sometimes it’s difficult for OBs who attend VBACs, or for those who live in communities where they have access to hospitals that allow VBAC, to understand that not everyone lives in that world. [...]

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

Strict asian girl

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 [...]

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.” [...]

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! [...]

Portraying OBs as the bad guys?

Miriam left this comment in response to the article entitled, Hospital VBAC turned CS due to constant scare tactics:

Many of the stories on this website point to the ob/gyns as the bad guys.  While I believe there may be some doctors that use tactics and lies, it is overlooked that the doctors are just [...]

Another VBAC consult misinforms

What disappointed me, however, was the NIH VBAC conference panel’s surprise at the misinformation and bait & switch tactics to which many women are subjected. I think when you are a VBAC supportive practitioner, it may be hard to believe that your colleagues practice in a manner like I describe below. [...]

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.” [...]