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Government Panel Questions 'VBAC Bans'
Filed under: In The News
The National Institutes of Health convened an independent panel this week to re-evaluate so-called bans on VBACs, or vaginal births after cesareans. Many women who have had cesareans currently are not offered the VBAC option, even if they are at low risk for complications.
"Declining VBAC rates and increasing cesarean delivery rates over the last 15 years would seem to indicate that planned repeat cesarean delivery is preferable to a trial of labor. But the currently available evidence suggests a very different picture: a trial of labor is worth considering and may be preferable for many women," says Dr. F. Gary Cunningham, chair of the 15-member panel, in an NIH press release.
The panel also advocates revisiting current VBAC guidelines, addressing malpractice concerns and conducting additional research on the factors that influence how a woman with a previous cesarean will deliver.
Before a 1980 consensus statement, it was widely believed that women who had a cesarean delivery would have to deliver subsequent pregnancies via cesarean. VBAC rates then went up until 1996, but then declined again. The current VBAC rate is 10 percent, compared to 28 percent in 1996.
"There's still a lot we don't know about which women will be successful in having a VBAC, but we believe it's essential that women's desires and preferences be respected throughout the decision-making process," says Cunningham, who is also chair of obstetrics and gynecology at the University of Texas Southwestern Medical Center at Dallas.
Related: Vaginal Birth After Cesarean
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ReaderComments (Page 1 of 1)
3-13-2010 @ 4:50AM
aine12663 said...I had 2 c.sections. emergency ones at that after long labours. Both babies were big. one 10lbs 6 oz and 2nd one 10 lb 8 oz. Very hard getting back into the swing of things after a C.section no matter what people say. You just have to give your body time to get over it and heal sufficiently. Defo no to hoovering.
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3-12-2010 @ 9:20PM
uvolttafrancis said...Weird. I had a VBAC with no issues. My doctor and hospital were very flexible and respected my wishes. But I have heard about the once an c-section always a c-section.
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3-13-2010 @ 4:54AM
aine12663 said...yes, I know of a woman who actually had 6 sections although after the first 3 she was advised no more but kept having them . All depends on your body I suppose. Do not know how the body could fully recover after 6....brave woman
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3-13-2010 @ 1:41PM
Lisa M said...I had an emergency c-section with my first child because of doctor error. My requirement for finding a new doctor was that they would be willing to do a VBAC. I found out that most doctors in our area do not do them. Luckily, I found one. The difference in my recovery from both childbirths was so amazing that even I was surprised. It took me almost 2 months to fully recover from the c-section. I wouldn't recommend that for anyone. I am extremely grateful for my doctor and sad for many women that they have such uninformed medical practitioners. Birthing a child has almost become a money making industry with the amount of c-setions "required." And, I am sure it helps them have more family time because they schedule the "inconvenience" of their patients childbirth to coincide with daytime hours. I would love to see this regulated.
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3-14-2010 @ 12:42PM
bunkerwendy said...Join a wonderful pregnancy and parenting support community.
www.limetwists.com
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