The American College of Obstetricians & Gynecologists (ACOG) has released an updated vaginal birth after cesarean (VBAC) Practice Bulletin, its first in seven years. The previous version came out in 2010, shortly after the landmark National Institutes of Health Consensus Conference on VBAC. That Bulletin was a substantial revision of its predecessor, published in 2004 […]
You might be thinking this is a silly question because every competent adult has the right to make decisions about their medical care, but, in fact, doctors, hospital administrators, and lawyers don’t see it that way. I give you Exhibit A: “An ongoing fight for more control over birth in Atlanta.” According to the caption […]
UPI has published an article on the Midwives Alliance of North America (MANA) data analysis, “Perspectives on risk: Assessment of risk profiles and outcomes among women planning community birth in the United States.” As you can tell by the title, the study evaluates the effects of various maternal factors on outcomes among women planning birth at home […]
A study in the most recent issue of Birth provides eye-opening illumination on non-medical reasons for high cesarean rates (Kennedy 2016). Investigators at Yale’s med-school affiliated hospital conducted in-depth interviews eliciting opinions on how the institution could do better at promoting vaginal birth with 79 caregivers (obstetricians, pediatricians, anesthesiologists, anesthetists, midwives, nurses, doulas, and childbirth […]
The U.S. National Center for Health Statistics has published its final birth stats for 2015. Here’s some of the data along with my editorial commentary. Cesarean Rate The cesarean rate fell for the third year in a row to 32.0%, almost 1% less than its 32.9% peak in 2009. Still, while it’s good to see […]
A few weeks ago at the American Congress of Obstetricians & Gynecologists annual meeting, Dr. Grünebaum presented his prize winning paper concluding that home VBAC resulted in worse neonatal outcomes compared with hospital VBAC. No challenge there. Other studies of home VBAC have reached the same conclusion. It’s what comes next that’s the problem. Grünebaum […]
Parts 2 and 3 of the Science & Sensibility series are “The Forgotten Mothers,” and “Supporting the Mothers.” Check out the International Cesarean Awareness Network website for additional information.
Science and Sensibility is running a 3-part series on supporting women who plan VBAC but have repeat cesareans. “Part 1: A Unique Grief” was published last week.
The Royal College of Obstetricians & Gynaecologists has published updated VBAC guidelines based on studies published between 2003 and February 2015. The guidelines are more extensive and contain much more detailed information than the American version, but they are pretty much on the same wavelength, including the recommendation that VBACs be conducted in a hospital with […]
Science & Sensibility recently published an interview with Melissa Cheyney, one of the authors of the forthcoming “Planned home VBAC in the United States, 2004-2009: outcomes, maternity care practices, and implications for shared decision making.” Reporting on the largest group of HBAC women to date (1052 women), the VBAC rate was 87% overall, rising to 90% in […]