“There is a major misperception that TOLAC [trial of labor after cesarean] is extremely risky” – Mona Lydon-Rochelle MD, March 2010. “In terms of VBAC, “your risk is really, really quite low” – George Macones MD, March 2010. Both Drs. Macones and Lyndon-Rochelle are obstetricians and researchers who made these statements at the 2010 NIH [National Institutes of Health] VBAC Conference. Now you may think, “Wait a sec. Everything I’ve heard from my family, friends, and medical provider is how risky VBAC is and how cesareans are the conservative, prudent, and safest choice.” Why the discrepancy between the statements of these two doctor researchers and the conventional wisdom prevalent in America? [...]
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How many times have you heard “Only 6% of uterine ruptures are catastrophic” or “Uterine rupture not only happens less that one percent of the time, but the vast majority of ruptures are non-catastrophic?” But what does that mean? Does that mean only 6% of uterine ruptures are “complete” ruptures? Result in maternal death? Infant death? Serious injury to mom or baby? This article will explain to you the difference between uterine rupture and uterine dehiscence as well as explain the source and meaning of the 6% statistic. [...] 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. [...] 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 [...] 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 [...] Suzanne recently left this comment in response to the article, I’m pregnant and want a VBAC, what do I do? Hi. I’m new to your site and just trying to get some more info on VBAC. My daughter was a normal vaginal delivery. My second pregnancy(a surrogate pregnancy) was also a normal vaginal delivery. My [...] When someone understates the risk of UR, I think it’s just as important the clarify as it is when someone overstates the risk. How else are women to make an informed decision? Just as it’s plain wrong for an OB to tell a woman with one prior low transverse cesarean that she has a 20% [...] There is this idea that if you don’t VBAC and you schedule a repeat cesarean, that you will be safe from complications. This is because during a “VBAC counsel,” women are often told of the risks of VBAC, namely uterine rupture, but they are rarely told the risks of repeat cesareans in their current and [...] Below are the sources I used for the VBAC Class given on March 20, 2009. More classes are in the works, so keep checking back, subscribe, or become a fan on Facebook. Many of the studies measure multiple items – uterine rupture, VBAC success, etc. – but I categorized them by the topic that I [...] 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 [...] Note: I wrote this in early 2006 before I had my VBAC at home in November 2007. As someone who is planning a vaginal birth after cesarean (VBAC) with my next child, I am always reading the latest research studies about the risks of VBAC vs elective repeat cesarean section. All the studies I have [...] A couple weeks ago Virginia from Switzerland left this comment: I am planning to have a vbac at a hospital in Geneva, Switzerland. In general, they are very supportive of vbacs here. It is common practice here to measure the uterine scar at 37 weeks using a sonogram. Apparently, if the scar tissue is 3.5mm [...] 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 [...] 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 [...] It’s an unfortunate reality that a lot of people believe: 1. If you have a cesarean, your baby will be born healthy. 2. For a woman with a prior cesarean, you are not at risk of uterine rupture until labor begins. The reality is… 1. There are no guarantees regardless of how your baby is [...] |
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