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|Posted on April 3, 2015 at 3:42 PM|
Last year I wrote an article on evidence-based practice for The Clarion, the newsletter published by ICAN and sent to it’s subscribers (Spring 2014). I read A LOT of documents and studies in preparation for that!
Since it is Cesarean Awareness Month, I thought it fitting to share those with you. The information shared below is accessible to all care providers who care for women in their childbearing years.
If you would like a Trial of Labor with a subsequent pregnancy after a cesarean birth, then inform yourself about what the professionals are saying. Examine your expectations, and find a care provider that supports your intentions for your next birth journey.
I have provided a brief summary, excerpt, and link to the complete document so that you can read that are meaningful to you in full.
This document from ACOG sets new goals for the obstetrical practice as a whole to re-evaluate their standard practices and make necessary changes to reduce the primary cesarean rate:
Safe Prevention of the Primary Cesarean Delivery
This document from ACOG outlines the benefits and risks of a trial of labor after a cesarean (TOLAC), and help a doctor and a patient determine whether or not they are a candidate for TOLAC:Vaginal Birth After Previous Cesarean Delivery
ACOG - http://bit.ly/1jFbSSg
This article outlines some of the different changes that might be made in the way labor is managed – definitely talking points for ANY family to discuss with their care provider to ensure they are receiving evidence-based care:
Safe Prevention of the Primary Cesarean Delivery: ACOG and SMFM Change the Game
Science & Sensibility » http://bit.ly/1imlVdt
Prepared with the intention, “To provide health care providers, patients, and the general public with a responsible assessment of currently available data on vaginal birth after cesarean (VBAC).”
NIH Vaginal Birth After Cesarean (VBAC) Conference - Panel Statement
NIH - http://1.usa.gov/1jFdrQ7
Perspective and summary of the revised recommendations issued by online news source, Medscape:
ACOG Issues Less Restrictive Guidelines for VBAC
Medscape - http://bit.ly/1impfpd
A look at what evidence-based practice is – great place to empower you as a consumer and demand evidence-based care, and help evaluate the choice to change providers if you are not getting evidence-based care:
Introduction to Evidence-Based Practice
LibGuides at Duke University Medical Center http://bit.ly/1e5zxcH
The jury is still out as to how this will affect mothers who birthed by cesarean who want a Trial of Labor with subsequent pregnancies. Theoritically, it should allow for more time before a mother is considered "past due" and a care provider talks about induction.
Ob-Gyns Redefine Meaning of "Term Pregnancy"
ACOG Publication http://bit.ly/1y5woWq
Any thoughts on cesareans or VBAC?
Please leave a comment – it will be moderated and posted.
The material included on this site is for informational purposes only.
It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation. Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided. This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®.
Bradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, Payson