ACOG: ObGyns Issue Less Restrictive VBAC Guidelines (xp)

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krazykat's picture
Joined: 08/11/07
Posts: 1143
ACOG: ObGyns Issue Less Restrictive VBAC Guidelines (xp)

To include twins and 2 previous c-sections!! Woooohooooo!!! Check this out!

http://www.acog.org/from_home/publications/press_releases/nr07-21-10-1.cfm

Joined: 08/22/06
Posts: 621

good to see! maybe this is a positive step Smile

MrsMangoBabe's picture
Joined: 04/09/07
Posts: 2276

it looks like they are clarifying their position on the "immediately available" surgical back up, too:

Women and their physicians may still make a plan for a TOLAC in situations where there may not be "immediately available" staff to handle emergencies, but it requires a thorough discussion of the local health care system, the available resources, and the potential for incremental risk. "It is absolutely critical that a woman and her physician discuss VBAC early in the prenatal care period so that logistical plans can be made well in advance," said Dr. Grobman. And those hospitals that lack "immediately available" staff should develop a clear process for gathering them quickly and all hospitals should have a plan in place for managing emergency uterine ruptures, however rarely they may occur, Dr. Grobman added.

The College says that restrictive VBAC policies should not be used to force women to undergo a repeat cesarean delivery against their will if, for example, a woman in labor presents for care and declines a repeat cesarean delivery at a center that does not support TOLAC. On the other hand, if, during prenatal care, a physician is uncomfortable with a patient's desire to undergo VBAC, it is appropriate to refer her to another physician or center.

That may be the best we get.

I think that a lot of women who chose RCS over VBAC do so because the "information" they're given overstates the risks of VBAC and downplays the c/s risks. I also am not a fan of the phrase "trial of labor," but I agree this press release definitely reflects a step in the right direction.

Thank you, NIH VBAC conference! Smile

momW's picture
Joined: 09/29/09
Posts: 5634

Ariel, I can't tell you how excited I was to see this release today!!!! I know what I'm doing is right and safe, but now that ACOG finally admits that it's safe maybe people won't tell me how wreckless and selfish I'm being by doing a VBA2C!!!!!

I'm thinking really seriously about printing this and mailing it to the dr I had at 1st with DS that told me a VBAC was not safe at all!!!

I just hope this gets through eventually to the OB's!!!!

krazykat's picture
Joined: 08/11/07
Posts: 1143

"momW" wrote:

Ariel, I can't tell you how excited I was to see this release today!!!! I know what I'm doing is right and safe, but now that ACOG finally admits that it's safe maybe people won't tell me how wreckless and selfish I'm being by doing a VBA2C!!!!!

I'm thinking really seriously about printing this and mailing it to the dr I had at 1st with DS that told me a VBAC was not safe at all!!!

I just hope this gets through eventually to the OB's!!!!

You go girl!! Print and mail!! I have been known to do that myself lol!

And Brittany, I agree... I was so happy to see that it plainly says in there that a woman should not be restricted due to hospital policy if she refuses a repeat c/s. Like I said on the Sept 2010 board, the whole uterine rupture thing frustrates me to no end b/c UR is a risk whether you are a FTM or have had a c/s, so if they are going to make such strict requirements, then all hospitals need to have the resources to deal with emergency situations like that. UR and accessibility to immediate surgery has been the primary basis for the vbac bans... hopefully b/c of this they don't have anything to stand on anymore. I can't wait to see if this makes a difference!!! Fingers crossed!!

Spacers's picture
Joined: 12/29/03
Posts: 4103

I never understood the "immediately available" thing myself. If a surgeon & anesthesiologist aren't available enough for a VBAC, then why in the world is that hospital letting anyone give birth there? :rolleyes:

And Yahoo for the revised guidelines!!!

jolly11sd's picture
Joined: 02/02/05
Posts: 3327

"Spacers" wrote:

I never understood the "immediately available" thing myself. If a surgeon & anesthesiologist aren't available enough for a VBAC, then why in the world is that hospital letting anyone give birth there? :rolleyes:

My thoughts exactly!

cmljll's picture
Joined: 11/28/06
Posts: 1409

I was so thrilled to see that article this morning! If I ever have another baby I'm planning a VBA2C so this was really welcome news!

DJMandyB's picture
Joined: 10/18/07
Posts: 68

Great news! If I were going for a VBAC I would be bringing a stack of copies of that with me just in case.

Mom2ThreeKiddos's picture
Joined: 09/15/09
Posts: 1380

We got the notification the other day through ICAN. I think this is a good first step. I just hope that some actual policy change starts to happen with it.