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Two-Thirds of OB-GYN Guidelines Have No Basis in Science

Two-Thirds of OB-GYN Guidelines Have No Basis in Science

by | Aug 22, 2011 | Cesarean section, Evidence based medicine, Large/macrosomic babies, Planning your vbac, Resources for unsupportive family members

“It’s no wonder that the cesarean rate is going through the roof and women are seeking alternatives to hospital-based OB/GYN care in unprecedented numbers,” said Susan M. Jenkins, Legal Counsel of The Big Push for Midwives. “ACOG’s very own recommendations give its members permission to follow opinion-based practice guidelines that have far more to do with avoiding litigation than with adhering to scientific, evidence-based principles about what’s best for mothers and babies.”

ACOG issues less restrictive VBAC guidelines

ACOG issues less restrictive VBAC guidelines

by | Jul 21, 2010 | Evidence based medicine, Planning your vbac, Resources for unsupportive family members, VBAC, VBAC after multiple cesareans

Removing the “immediately available” standard while supporting VBAC with twins, after two prior cesareans, and with unknown scars is a huge step in the right direction. It seems that the option of VBAC is now available to hundreds of thousands of women, many of whom, up to this point, were left with no choice at all.

Interview with Dr. Fischbein: An Inside Look at Hospitals and VBAC Bans

Interview with Dr. Fischbein: An Inside Look at Hospitals and VBAC Bans

by | Sep 8, 2009 | An inside perspective, Evidence based medicine, Hospital birth, Informed consent, Legal Issues, Planning your vbac, Resources for unsupportive family members, VBAC, 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.”

AAFP National VBAC Guidelines

AAFP National VBAC Guidelines

by | Sep 12, 2008 | Cesarean section, Evidence based medicine, Inductions, Infant Outcomes, Large/macrosomic babies, Maternal Outcomes, Resources for unsupportive family members, Uterine Rupture, VBAC

March 2005, the American Academy of Family Physicians published an evidence based clinical practice guideline on TOLAC (Trial of Labor After Cesarean; formerly called Trial of Labor Versus Elective Repeat Cesarean Section for the Woman With a Previous Cesarean Section). The AAFP guideline recommends offering a trial of labor to women who have had one previous cesarean delivery with a low transverse incision.

Free Handout Debunks...

There is a bit of myth and mystery surrounding what the American College of OB/GYNs (ACOG) says about VBAC, so let’s get to the facts, straight from the mouth of ACOG via their latest VBAC guidelines.

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