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Welcome to BirthAfterCesarean!

This site is currently looking for stories about cesareans, stories about VBAC, interesting tidbits that you think moms need to know about life after the cesarean epidemic began. After all, whether women realize it or not, since the cesarean rate began to rise, it has affected birth and life for every woman, man and child in America.

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The NIH VBAC New Insights Conference 2010 videos are UP!

If you don’t have time to watch all the  days of panel speakers, discussion and questions, we have broken out all the videos by section.

They start here.

The NIH Consensus on VBAC was held in 2010. The entire premise of the consensus was “What the Evidence Tells us” in order to further explore what can be done to increase access to vaginal birth for women with a prior cesarean. There were several points made which are worth further exploration.

And despite all the evidence, and the later update by ACOG in 2010 of their VBAC recommendations for their providers, one of the resounding themes of the NIH was that the evidence for VBAC safety hasn’t changed in thirty years and that no one can force ACOG or individual obstetrical providers to act in accordance with this evidence. VBAC is 60-80% successful in a first VBAC, with higher success numbers in every successive VBAC accompanied by lower rates of complications for both mother and baby. Doing repeat cesareans without medical indication simply because a woman has a prior cesarean is not evidence-based medicine.

What the evidence of the NIH conference expounds on is that ethically speaking, our medical societies are ignoring the realities of the impact of cesareans on women’s physical, emotional and mental health in the United States today. This VBAC Consensus was a follow-up to the previous NIH Consensus that spoke about maternal-choice cesarean without any  virtue of evidence that women are doing so in large numbers without providers driving the elective cesarean process. Both of these consensus hearings stated that meanwhile, our cesarean rate continues to grow exponentially, the vbac rate has declined significantly and outcomes are not being improved.

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1 Comment Post a comment
  1. m. heugel
    Jun 28 2012

    The biggest negative I remember is people thinking “once a section/
    always ‘ requires’ a section”. Had it not been for a caring CNM who had shown my husband and me how to work with healthy labour, my arm would probably have been twisted to have a needless repeat section. And I would probably have missed out on three
    really sweet daughters, who’ve grown up to be lovely ladies.

    I waws especially saddened to be told a repeat cesarean friend had been needlessly put on her back to hold back a labour because her doctor couldn’t do a c-section until the next day. Had she been given an I.V. and allowed to sit up and have a vaginal birth, I’m sure she would have lost less blood and had a far better recovery. Even if the medical staff would have given her an immediate repeat c-section, I believe her recovery could have been quicker.

    Reply

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