Archive for the ‘VBAC’ Category

Preventing First Cesareans- Consumer Statement

May 14, 2014

Many expectant parents are concerned about the high rate of cesareans. Indeed, they have reason for concern. One in three women in the United States (32.8%) now give birth by cesarean, and the dramatic rise in the cesarean rate has not improved outcomes for women or babies.  The World Health Organization recommends a cesarean rate between 5 and 15 percent, because data suggest that rates above 15 percent may do more harm than good. Cesareans can be lifesaving when they are needed, but when they are used without a medical reason, the risks can outweigh the benefits.

In order to bring down the rising cesarean rate in the U.S., the American College of Obstetricians and Gynecologists (AGOG) and the Society for Maternal-Fetal Medicine (SMFM) released guidelines for the “Safe Prevention of the Primary Cesarean” in February 2014. These groundbreaking guidelines recommend changing many standard elements of maternity care and have the potential to dramatically improve the quality and experience of maternity care for the women of New York City and across the United States. CiC has created a summary, available for free download, of some of the key recommendations made by ACOG and SMFM so that you can discuss them with your doctor or midwife.

Ask how your doctor or midwife and your hospital or birth center are responding to these new recommendations

Preventing First Cesareans- Consumer Statement


Workshop Wrap-Up: VBAC and Cesarean Birth

October 9, 2012

CIC’s Healthy Birth Choices Workshops on Vaginal Birth After Cesarean (VBAC) and Cesarean Birth are often particularly personal and powerful. Every expectant or prospective mom in the audience has either faced or is facing a birth which did not go the way she had hoped. All are seeking support, information and resolution as they prepare for their next baby’s birth.

Those who came to our most recent meeting brought with them many questions, all closely focused on the logistics involved in a successful VBAC.  Is there a correlation between epidurals or induction and cesarean sections? How can I increase my likelihood of success if I am induced? Which special hospital protocols may apply for VBAC and are they necessary? These were addressed by home birth midwife Joan Bryson CNM and family physician Dr Marc Levin, who kindly joined us to answer questions and provide a care provider’s perspective on the VBAC. Our three mom speakers all shared powerful stories of difficult decisions during their pregnancies and births, and their journeys to find peace with and take ownership of their birth experience.


A Victory for VBAC: ACOG revises its position

July 22, 2010

Advocates of women’s rights and maternity care activists are celebrating today as The American Congress of Obstetricians and Gynecologists (ACOG) announces its revised position on Vaginal Birth After Cesarean (VBAC).  After a longstanding position designed to bar women from attempting a vaginal birth after a cesarean delivery (a position that has contributed to rising rates of cesarean delivery in our country), a recent press release from ACOG says:

“Attempting a vaginal birth after cesarean (VBAC) is a safe and appropriate choice for most women who have had a prior cesarean delivery, including for some women who have had two previous cesareans.”

ACOG’s recommendations are now better aligned with the evidence supporting the safety of a “trial of labor” after a prior cesarean section, and also encourage autonomy for women in their maternity care decisions. One of the authors of the new guidelines, Dr. Grobman, says:

“Rather than provide a directive of ‘you can’ or ‘you can’t’ do this, doctors need to provide information about the potential risks and successes and let women have autonomy to make their own decision.”

At Choices in Childbirth, we are pleased that ACOG has taken this step toward expanding access to the entire range of maternity care choices for women and their families.

To read more about the history and implications of the revised VBAC policy, see the US News article the RH Reality Check story.

See what Lamaze and the International Cesarean Awareness Netowrk are saying about this topic.