This is the year for VBACs in my doula practice. I love supporting VBAC mamas; they have this special zing and purpose about them. I suppose hindsight is 20/20 and so these women approach birthing, the second time, being more informed and prepared.
In 2010, The American Congress of Obstetricians & Gynecologist (ACOG) issued Practice Bulletin No. 115, replacing Bulletin No. 45 which included the infamous requirement of doctors to be “immediately available” which resulted in a fire of VBAC bans to rage around the country, but primarily in rural areas. ACOG’s current position is supportive of VBACs stating that VBAC is a “safe and appropriate choice for most women” with one prior cesarean and for “some women” with two prior cesareans. Being pregnant with twins, going over 40 weeks, having an unknown or low vertical scar, or suspecting a “big baby” should not prevent a woman from planning a VBAC (ACOG, 2010). That is great news across the country and I anticipate the Cesarean rate to low overall.
The risk of uterine rupture with one prior low-transverse uterine scar is low, 0.5% to 0.9% so for those considering a VBAC, read Katie’s inspiring birth story and the steps she took to ensure VBAC success!
Katie’s VBAC Story – Birth of Rowan
The Previous Cesarean
From my 20-week ultrasound on, I knew that I would be having a scheduled Cesarean Section with our first baby girl, Daphne. Due to a defect in her abdominal wall that would require surgery, the doctors recommended that a Cesarean was the safest way for her to be born. I was heartbroken, fearing that it would pave the way for my subsequent births.
Daphne’s birth was an emotional experience because there were so many unknowns […]