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Public Comments Needed on VBAC Research Priorities by June 22, 2012

If you would like the chance to comment on the future of VBAC (vaginal birth after cesarean) research needs in the United States, you have the chance to do so by June 22, 2012.

First, read this document:

Then, go to this site and enter comments in the form at the bottom of the page:

Reader Comments (6)

I read the whole report. These were the comments I left... under Methods: Since only 33% of the consumer advocates responded, this research report may not adequately reflect the opinions of the very population whom it seeks to serve-- women who desire to have a trial of labor after Cesarean but are frequently denied this choice by their care providers and local hospitals.
Under Discussion: In the future, I would like to see funded studies that use a patient-oriented research approach to studying this matter. Much of the discussion section focuses on what hospitals are able to do, what ACOG says, what the liabilities are. I understand that these are all barriers to trial of labor after Cesarean, but isn't this a human rights issue? Women have the right to choose a trial of labor after Cesarean and they are actively discouraged from doing so-- and often prohibited from this choice, thus giving them much higher risks with future pregnancies. We know that VBAC is safe for most women, and that the perinatal mortality rate is the same as with a primiparous woman having a vaginal birth. Please consider making "patient-oriented research" an important component of any calls for research proposals.

June 18, 2012 | Unregistered CommenterRebecca

I had a vbac that was a success but had to fight hard to have my vbac not end in a c-section. I was not "broken", my first child was breech so this was like my first labored reg. birth. I had no doctors in my state who would attempt my vbac because of the insurance companies. I had to go with a midwife who was no experienced with vbacs & ended up leaving me while I was in labor. I wish that more people knew the facts about vbacs & that health care workers did not treat you like you were CRAZY for not wanting unnecessary surgery!

June 19, 2012 | Unregistered CommenterKelly

I sincerely believe that VBAC must become more common. A Cesarean section is a major surgery. I was bullied into a c section for my first baby. I am now searching high and low, so that in a few years, I may birth vaginally. It's quite alarming just how many physicians would rather slice and dice. If we continue with this trend, until the Csect rate is circa 90% what if evolutionarily (in many many many decades) we become physically incapable of vaginal births? It scares me. And quite frankly, who's to say that epigenetics isn't already taking its toll on mankind?

June 20, 2012 | Unregistered CommenterAngela Erickson

That is so funny that you say that maybe we will be incapable of delivering naturally because of the c-sections one day. I was thinking just the same thing!!

June 20, 2012 | Unregistered CommenterKelly

I think that so many people hear about "risk of rupture" in reference to VBAC's and automatically get scared. However, if you actually research it, the risk is NOT much higher at all than any other vaginal delivery. When I first threw around the idea of VBAC for this new baby, I was amazed when I looked it up and found out how minimally risky it was compared to all the panic I heard surrounding the topic. Also, c-sections have just as many risks, although different. This is why I feel that it's partially an education issue. It seems like you never really hear about VBAC as an option unless you've researched/decided on it yourself, doctors don't flat out "advertise" it as a safe and viable option in most cases. We have conditioned ourselves to do whatever is most convenient, and let's face it, for a lot of doctors it IS more convenient to just cut someone open and be done with it.. however, doctors are there to serve the best interest of their patients, not just get the job done quickly and easily.

I think it's abhorrent that doctors can flat out say no to a woman's wishes for how she wants to deliver her child. I understand that there are certain scenarios that make it more risky and certain people who are at higher risk than others that may need to be regulated, but to
just flat out refuse it to anyone is upsetting. I switched doctors for this very reason.

June 20, 2012 | Unregistered CommenterLindsay M.

I felt forced into my cesarean; my questions were not answered, and I was given no other option. I was downright lied to by my doctor. Once my daughter was taken, it turned out that there was no tangible reason for the cesarean. It left her 3 weeks premature, with aspiration, and a week in the NICU, followed by 5 months of colic, all because she was wrongly "saved". I dealt with hatred, panic attacks and depression for two years after my experience, and have heard of many other women who have dealt with similar aftermath. The O.B.'s don't know about it because we never go back to them. Cesarean is more convenient for doctors, but scientific facts of safety, as well as cases of emotional trauma, are ignored. The W.H.O. warns against cesarean rates even one third of what we see in most American hospitals today. The excuse doctors give is that cesarean saves lives. Looking at the mortality rates for both mother and baby, rising with cesarean rates, we see the opposite. Cesarean has been proven more dangerous than vaginal birth, VBAC and even VBA3C, and yet hospitals continue to pressure women into surgical birth. We also need to study the atmosphere in which VBAC is attempted, (when it is even allowed). For instance, even titling it a "Trial of Labor" makes a woman feel like she is being put to the test and set up for failure. Midwives' VBAC rates of success are much higher than those of hospitals, I believe simply because women feel supported when cared for by midwives. Trying a VBAC with a cynical doctor waiting, reminding you there is a knife in the next room, is not conducive to successful vaginal birth.

June 20, 2012 | Unregistered CommenterSarah
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