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E3 The Rules About VBAC (Part 1): A Deep Dive into US VBAC Guidelines with Jen Kamel
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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.
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00:21 Understanding ACOG and Its Influence
01:43 Decoding ACOG's VBAC Guidelines
02:10 Alternative Language for TOLAC
04:47 Assessing VBAC Candidacy
06:35 Levels of Evidence in ACOG Guidelines
09:11 Risks & Benefits of VBAC & Elective Repeat Cesarean
11:48 Understanding Uterine Rupture and Uterine Dehiscence
14:11 Evaluating Medical Research on VBAC
25:31 VBAC Calculators and Prediction Models
34:13 Who is Not a VBAC Candidate?
51:35 Induction and Augmentation After Cesarean
VBAC Facts® resources
- Article: How to qualify medical studies: “Three times the risk?:” What the large Canadian VBAC study really says
- Article: New study reveals surprising truths about the VBAC calculator
- Article: Vaginal birth after two cesareans (VBA2C): An overview of the evidence
- Article: Vaginal birth after three or more cesareans (VBA3C/VBAMC): An overview of the evidence
VBAC Facts® trainings
- VBAC 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 Uncertainty
Other resources
- American 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 mentioned
- 50 percent did not meet the criteria for FTP: Zhang, 2010
- BMI provider bias: Bernstein, 2012 & Metz, 2013
- "80% of people with one prior cesarean schedule an elective repeat cesarean:" Curtin, 2015
- Less than 3% actually labor after two cesareans: Dombrowski, 2020
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