Word: vbacs
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Thank you for your article on vaginal birth after cesarean (VBAC) [March 2]. I gave birth to my son in 2007 and felt pressured into a cesarean after 12 hours of labor. I regretted it later. Not all women who have a C-section elect to do so, and they should be given the chance to try again "the old-fashioned way." Rebecca Morris, SIOUX FALLS...
Weeks before my due date, I switched to ob-gyn Joseph Tate, a well-known supporter of VBACs in Georgia. He was confident in my ability to have a VBAC, and in July 2008 I did. He has developed a huge following as a result of his low C-section rate, his willingness to take on hard cases and an approach that allows a woman to go into labor when her body is ready and to labor as long as she needs to. He is a hero to women who want to birth the way nature intended and on their...
...glossed over the impact of malpractice lawsuits in the decline of VBAC births. Parents sign a detailed form stating that they fully understand the risks that can occur with a VBAC, but when their choice results in a tragic loss or injury, they often seek to blame the doctor or hospital. Larry Kincheloe, M.D., OKLAHOMA CITY...
...decline in VBACs is driven both by patient preference and by provider preference," says Dr. Hyagriv Simhan, medical director of the maternal-fetal-medicine department of Magee-Womens Hospital of the University of Pittsburgh Medical Center. But while many obstetricians say fewer patients are requesting VBACs, others counter that the medical profession has been too discouraging of them. Dr. Stuart Fischbein, an ob-gyn whose Camarillo, Calif., hospital won't allow the procedure, is concerned that women are getting "skewed" information about the risks of a VBAC "that leads them down the path that the doctor or hospital wants them...
Zelop is among those who worry that "the pendulum has swung too far the other way," but, she says, "I don't know whether we can get back to a higher number of VBACs, because doctors are afraid and hospitals are afraid." So how to reverse the trend? For one thing, patients and doctors need to be as aware of the risks of multiple cesareans as they are of those of VBACs. That is certain to be on the agenda when the NIH holds its first conference on VBACs next year. But Zelop fears that the obstetrical C-change...