What birthing families need to know about VBAC after a classical or T/J incisionWhat birthing families need to know about VBAC after a classical or T/J incision Facebook Twitter LinkedIn Like We have previously discussed the problematic studies behind the 4-9% uterine rupture statistic associated with vaginal birth after a classical or T/J...
Does VBAC after more than one prior cesarean pose an increased risk? YES.
An advocate claims that the American College of Obstetricians & Gynecologists (ACOG) said VBAC after more than one prior cesarean (VBAMC) doesn’t pose an increased risk. A reader contacted me asking if this was correct. It is not. ACOG does not say that because it’s not true.
New study reveals surprising truths about the VBAC calculator
VBAC calculators have been embraced with open arms by some providers, whereas others reject them altogether. Who’s right? Trying to predict who will have a VBAC is tricky. We know some individual factors, such as having a prior vaginal delivery, are associated with higher or lower VBAC rates. By combining various factors, VBAC calculators generate a percentage that represents the best guess for an individual’s odds of having a vaginal birth after cesarean. But VBAC calculators, also called VBAC success calculators, are not always accurate and can create emotional baggage.
Do epidurals during planned VBACs mask uterine rupture pain or delay its diagnosis?
Some care providers discourage epidurals in VBAC moms fearing that it will mask the symptoms of uterine rupture (namely abdominal pain) and delay diagnosis resulting in a poor outcome for baby and to a lesser extent, mom Other care providers suggest or even require VBAC moms to have an epidural so that a cesarean can quickly take place if needed.
Myth: Risk of uterine rupture doesn’t change much after a cesarean
I came across a couple different bits of (mis)information over the past day that have really concerned me. In both situations, people, one of whom is a certified professional midwife (CPM), give false information regarding how a cesarean affects one’s risk of uterine rupture in future pregnancies.