Bring back VBAC

Interested in home birth, hospital birth or private midwifery care? Questions or comments? Email Melissa Maimann or call 0400 418 448. Link

Deaths and severe complications in pregnancy and childbirth are increasing in the United States ... More pregnant women today are older and obese, and childbirth practices have changed greatly over the past two decades with more cesarean sections and induction of labor ...

Why is having a baby today less safe than it was two decades ago? Two studies ... make suggestions for addressing the crisis ...

... vaginal birth after cesarean is "a reasonable choice for the majority of women." ... although both elective repeat cesarean section and VBAC are highly safe, maternal death was higher for elective repeat Cesarean sections (0.013% versus 0.004% for a trial of labor). The rates of hysterectomy, hemorrhage and transfusions did not differ between the two groups. Uterine rupture -- the complication that is usually given for discouraging VBACs -- was rare but higher in the trial of labor group (0.47% compared with 0.03% in the repeat C-section group). Infant death was higher in the trial of labor group (0.13% compared with 0.05% in the repeat C-section group).

About one-third of all births today in the U.S. are cesareans, and the most common reason for needing a C-section is that the mother has already had one. But recent studies show that two or more cesareans increase the risk of dangerous complications of the placenta that may be contributing to the increase in maternal deaths in recent years. That complication may prove to be more significant than the risk of uterine rupture in a woman attempting a VBAC ...

It's time to start reversing C-section rates in part by allowing VBACs ...

Melissa Maimann, Essential Birth Consulting 0400 418 448