I came across this story from a nurse and I wanted to share with you. First because it’s an amazing story illustrating how nurses can help birthing parents avoid a primary cesarean. And second, because we can all use some good news.
“I need to ask a favor from anyone who 1) had a vaginal breech birth in the hospital, 2) had one at home because that was your only option, or 3) was pressured into a cesarean because it was not an option due to hospital policy or lack of experience of attendant. I am getting a lot of pressure to stop attending breech and despite my best efforts to get privileges at a tertiary care hospital with neonatology, it is not happening. Please send your impassioned pleas and experiences to Sutter Davis Hospital 2000 Sutter Pl Davis CA 95616 Thanks!”
Last week, I shared the eleven things that I love about ACOG’s latest VBAC guidelines. And with good reason. There’s some excellent new language as well as reiterations of positions that they presented back in 2010. But there are a few places where ACOG misses the mark and these are the three areas that gave me the most concern.
When I found out that ACOG released their new guidelines yesterday, I couldn’t wait to devour them. This morning, I had an opportunity to cuddle up with the new recommendations and I’m quite pleased. As always, there are things to like and areas where I think ACOG missed the mark. But here are the eleven good things about ACOG’s 2017 VBAC guidelines.
I’m in an online group for labor & delivery nurses where the discussion of vaginal birth after cesarean (VBAC) at home came up. While some understood the massive VBAC barriers many women face, others simply said, “Find a hospital that supports VBAC.” I left a late-night comment stating that “finding another hospital that supports VBAC” is just not a reality in many areas of the country. It’s literally not possible. Not even in the highly populated state of California. I also suggested rather than calling women stupid or debating the validity of the decision to have a home VBAC , we should consider why women make this decision.
In 2010, I was sitting next to an OB/GYN during a lunch break at the National Institutes of Health VBAC Conference. She was telling me about how she had worked at a rural hospital, without 24/7 anesthesia, that offered vaginal birth after cesarean (VBAC). I asked her what they did in the event of an emergency. “I perform an emergency cesarean under local anesthetic,” she plainly stated.