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Vaginal Birth After Three or More Cesareans (VBA3C/VBAMC): An overview of the evidence

Vaginal Birth After Three or More Cesareans (VBA3C/VBAMC): An overview of the evidence

Vaginal Birth After Three or More Cesareans (VBA3C/VBAMC): An overview of the evidence Facebook Twitter LinkedIn Like After someone has a cesarean section, they often wonder if they will always have to have a cesarean for future deliveries. While “once a cesarean,...
Vaginal birth after two cesareans (VBA2C): An overview of the evidence

Vaginal birth after two cesareans (VBA2C): An overview of the evidence

Vaginal birth after two cesareans (VBA2C): An overview of the evidence Facebook Twitter LinkedIn Like As is the case with vaginal birth after one cesarean, (VBA1C), vaginal birth after two cesareans (VBA2C) is a reasonable option that is often difficult for people to...
Does VBAC after more than one prior cesarean pose an increased risk? YES.

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.

Accreta spectrum disorder tied to increased risk of PTSD

Accreta spectrum disorder tied to increased risk of PTSD

We often think of the physical risks and benefits when talking about VBAC versus repeat cesarean section, but what about the toll on mental health? The stress of having a complication like placenta accreta is often not addressed and parents are left on their own trying to figure out how to cope with this serious diagnosis. So I was thrilled to come across a study finally addressing this issue and to include it in our monthly Grand Rounds for VBAC Facts Professional Members. Join me for this Grand Rounds excerpt where we review Tol 2019, a study looking at the connection between abnormally invasive placenta and post traumatic stress disorder.

Uterine rupture survival story teaches two lessons

Uterine rupture survival story teaches two lessons

Having a prior uterine surgery increases the risk of uterine rupture. The relative risk is still low, but it’s there. Other factors can push that risk higher (such as induction.) But sometimes there is no “reason” for a uterine rupture other than a prior cesarean. Uterine rupture stories illustrate that even though the risk is ~ 0.4% (among those with one prior low transverse cesarean in a spontaneously laboring VBAC), that small number impacts real parents & babies.

“Three Times the Risk?” What the Large Canadian VBAC Study Really Says

“Three Times the Risk?” What the Large Canadian VBAC Study Really Says

A VBAC study out of Canada reported, “Absolute rates of severe maternal morbidity and mortality were low but significantly higher after attempted vaginal birth after cesarean delivery compared with elective repeat cesarean delivery.” After reading the abstract, and full text, I could quickly see how this study will be misinterpreted by many, so let me walk you through it.

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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