July 21, 2010 |
The major medical organization representing obstetricians said Wednesday that a vaginal birth after caesarean is a safe and appropriate choice for most women who have had a prior C-section, including some women who have had two prior C-sections. The guidelines were issued by the American College of Obstetricians and Gynecologists. Hospital policies, legal concerns, insurance restrictions and factors related to doctor and patient convenience often prevent women who could have a VBAC from getting one. "Moving forward, we need to work collaboratively with our patients and our colleagues, hospitals and insurers to swing the pendulum back to fewer caesareans and a more reasonable VBAC rate," Dr. Richard N. Waldman, president of ACOG, said in a news release.
May 3, 2010
As a still-practicing obstetrician of over 30 years, I extend kudos to your freelance writer Taffy Brodesser-Akner for her wonderful first-person piece "The Birth of a Dilemma [April 26]. She did a great job of presenting VBAC (vaginal birth after C-section) from both a practical and emotional standpoint. Unfortunately, with no tort reform coming soon, many hospitals are reluctant to allow VBACs to even occur within their delivery suites. Money talks! Michael L. Friedman, MD., FACOG Torrance • Surely, attempting a vaginal birth after cesarean comes with its risks, but so does vaginal birth with no prior history of cesarean.
April 26, 2010 |
In my first pregnancy 21/2 years ago, I was induced at 39 weeks, labored for 29 hours, and ended up with an emergency C-section when I failed to make any progress toward actually giving birth. Since then, I have paid close attention to the vaginal-birth-after-C-section debate because I knew the day would come when I would have to. One week into this pregnancy's third trimester, I am still unsure how to approach my delivery. In March, a National Institutes of Health panel questioned the trend of hospitals and doctors denying women who have had a C-section the chance to try for a vaginal delivery.
March 11, 2010 |
Vaginal birth after caesarean, or VBAC, is reasonably safe and should be more widely available, a National Institutes of Health advisory panel concluded Wednesday. Such deliveries once accounted for 25% of U.S. births among women with a previous caesarean delivery, but have now fallen to less than 9%. Many women would like to attempt a vaginal delivery, however, and the panel's consensus statement is expected to increase their access to the option. The panel, composed of independent experts in maternal and child health, found that although both VBAC and planned, repeat caesareans posed a range of risks and benefits, women should be allowed more choice.
February 19, 2001
I read "Once a C-Section Always a C-Section? Yes, Insist Many Experts" (Feb. 5) with great interest, because my first child (a 6-pound, 10-ounce breech baby) was born by caesarean section, and the last two (both 8 pounds, 5 ounces) were born vaginally. My C-section was extremely painful because I wasn't given enough anesthesia, and I could feel every stitch as I was sewn up. I never wanted to go through that much pain ever again. My obstetrician was neutral when I expressed I wanted to try a VBAC.
January 26, 1992 |
Esther Zorn 10 years ago took a lonely journey from the familiar landscape of medical technology to the uncertain terrain of trust in her own body. She had a VBAC--a vaginal-birth-after-Cesarean. And it changed the course of her life. "I felt, after I had given birth to my daughter, that I had regained the blueprint for birthing that I could now pass on," said Zorn, whose own birth in 1952 was by Cesarean delivery. "It was a feeling that I had regained something I had lost, way back."