Over the course of the past 15 years, I have come across a lot of misinformation about VBAC. All of the myths below have come straight from readers who have asked me, “Is this true?” And every single time, the answer as been, “No.” I thought it was time to pluck out the most pervasive VBAC myths and assemble them into one article… and downloadable handout. These myths cover basic things like uterine rupture rates to difficult topics like death and logistical things like hospital policy. In the end, all of these myths confuse birthing women and people about their options making it impossible for them to make a truly informed decision between vaginal birth after cesarean (VBAC) and elective repeat cesarean section.
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.
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.