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 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. [...]
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 [...]
A huge red flag for me is when an OB states upfront at the first prenatal visit, “the main goal is a healthy baby and mom.” Why would the OB say something that is really so obvious, it should go without saying? Because by explicitly vocalizing it as a response to a VBAC inquiry, the [...]
So many women tell me how brave I was to have a homebirth, let alone a home birth after cesarean (HBAC.) But I think the real heroes are the women who manage a vaginal birth, especially after a cesarean, in a hospital. The deal is so stacked against you and many women find that they [...]