These sorts of stories are so common and so infuriating . . .
A fellow ICAN lister posted a recent conversation with a midwife regarding VBA2C (VBAC after 2 cesareans). The midwife didn’t really even know VBAC rates and quoted this woman a rupture rate of “um, I think like 6-8%” for VBA2C. Where did she get that statistic? I’m thinking it came from her . . . “um”.
The midwife called her back shortly thereafter to give her the ACOG act: Rupture rate for VBAC after one cesarean is 1-3% and after two cesareans the risk is (supposedly) 5 times greater, somewhere in the amorphous neighborhood of 5-17%. Was this woman given any references? Well, no of course not. You have to ask them, and then watch them squirm, and then of course they don’t have that information readily available. Give us a primary author for chrissake! Can’t you at least remember an author? Or is your “author” ACOG? ACOG the trade union. ACOG is NOT a research-based college. The fact that “college” is in their name makes me sick.
Luckily for women across the country and all over the world, there exist numerous evidence-based transparent resources for women who would otherwise get cut. I talk about them here like a broken record, but it’s necessary. Again, here’s where I recommend you start:
- International Cesarean Awareness Network
- Childbirth Connections
- Coalition for Improving Maternity Services
- Planning a VBAC (one woman’s collation)
- Plus Sized Pregnancy’s (for ALL women not just plus size) VBAC/Cesarean information
If your care providers aren’t aware of these organizations (ICAN, CIMS, Childbirth Connections), please refer them to these sites. And here is one recent study that they should have read already:
Landon, MB et al. “Risk of uterine rupture with a trial of labor in women with multiple and single prior cesarean delivery.” Obstetrics and Gynecology. July 2006;108(1):12-20.