The topic of today’s episode is: VBACs or Vaginal Birth After Cesarean. I had the honor of interviewing Jen Kamel for this episode. Jen is the founder of VBAC Facts.com.  In this episode Jen shines a light on the misconceptions about the safety and risks associated with VBACs and we discuss ACOGs current recommendation as well as the data surrounding this topic. 

I hope this episode educates and encourages any parent who has previously had a Cesarean birth and is considering their options for their next birth. 

In this episode we discuss:

Jen’s background and how she came to start VBACfacts.com

What is a VBAC?

Vaginal Birth After Cesarean: when someone has a Cesarean section birth in a prior pregnancy and then they decide that they want to labor and have a vaginal delivery with their subsequent child

Language is important! Patients/clinicians should use the phrase: “Planning a VBAC"

What risks are associated with Laboring After a Cesarean?

The risk of uterine rupture after 1 previous low transverse Cesarean birth without induction or augmentation is 0.4% 

How do the risks of a VBAC compare to the risks of complications from a Cesarean?

Both are associated with rare adverse outcomesThe most talked about risk associate with VBAC is: uterine rupture after 1 previous low transverse Cesarean birth without induction or augmentation is 0.4% A major risk associated with Cesarean is placental abnormalities like Placenta Accreta, this increases with each prior C-section

Do the risks differ with a first VBAC vs. VBA2C or multiple C-sections, or babies?

Risk of uterine rupture decreases after a first VBACVBA2C stands for: Vaginal Birth After 2 Cesareans

What steps can you take in pregnancy and labor to increase chances of having a VBAC?

Find out if your provider is supportive of VBAC

Ask questionsAsk for evidenceResearch your options for second opinions or finding another provider if your provider is not supportive of your choices

Mindset

Surround yourself with a bubble of peace and supportive peopleHave a mindset of: I am going to Labor After Cesarean

Arm yourself with the facts

You can talk confidently about your choicesAdvocate for yourselfFamiliarize yourself with the evidence 

How has COVID affected C-section rates in general, in the US? 

Jen is hosting a panel to discuss this in the VBACfacts professional membership next month 

How to get in touch with Jen and VBACfacts.com: 

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