Listen "E3 The Rules About VBAC (Part 1): A Deep Dive into US VBAC Guidelines with Jen Kamel"
Episode Synopsis
Heard national guidelines don't support VBAC? Well you heard wrong. Join us for a deep dive into the American College of OBGYN's VBAC guidelines. Join VBAC Facts® Founder Jen Kamel as she explains the significance of these guidelines for anyone birthing in the U.S. or working in healthcare. Jen clears up common misconceptions, highlights the difference between uterine rupture and dehiscence, and stresses the importance of informed decision-making. Tune in to learn more about VBAC's risks, benefits, and the role of different factors, such as BMI and induction, in VBAC outcomes.If you have a question or comment for the podcast, have something positive that has happened in your world relative to VBAC that you'd like us to share on the podcast, or you have a suggestion for an episode topic or a specific person you'd like us to feature on the podcast, click here and let us know!00:21 Understanding ACOG and Its Influence01:43 Decoding ACOG's VBAC Guidelines02:10 Alternative Language for TOLAC04:47 Assessing VBAC Candidacy06:35 Levels of Evidence in ACOG Guidelines09:11 Risks & Benefits of VBAC & Elective Repeat Cesarean11:48 Understanding Uterine Rupture and Uterine Dehiscence14:11 Evaluating Medical Research on VBAC25:31 VBAC Calculators and Prediction Models34:13 Who is Not a VBAC Candidate?51:35 Induction and Augmentation After CesareanVBAC Facts® resourcesArticle: How to qualify medical studies: “Three times the risk?:” What the large Canadian VBAC study really saysArticle: New study reveals surprising truths about the VBAC calculatorArticle: Vaginal birth after two cesareans (VBA2C): An overview of the evidenceArticle: Vaginal birth after three or more cesareans (VBA3C/VBAMC): An overview of the evidenceVBAC Facts® trainingsVBAC Facts® professional membership: where we house a library of continuing education trainings including The Truth About VBAC™ for Professionals, Plus Size VBAC: Odds, Risks, and Realities, The Truth About VBA2C: Risk, Rates, & Outcomes, The Limited Evidence on VBA3+C: Decision Making in the Midst of UncertaintyOther resourcesAmerican College of Obstetricians and Gynecologists. (2019). ACOG Practice Bulletin No. 205. Vaginal birth after cesarean delivery. Obstetrics & Gynecology, 133(2), e110-e127.American College of Obstetricians and Gynecologists. (2016). Refusal of medically recommended treatment during pregnancy. Committee Opinion No. 664. Obstetrics & Gynecology, 127, e175-82.Studies mentioned50 percent did not meet the criteria for FTP: Zhang, 2010 BMI provider bias:
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