Vaginal Birth After C-Section (VBAC) | Fit Pregnancy

Vaginal Birth After C-Section (VBAC)

Why Unnecessary C-sections Do More Harm Than Good

We’re always harping about what women should do to avoid having a C-section around here.  Most women are pretty motivated to avoid that surgery (the #1 surgical procedure performed in America, by the way), but some women have emailed or commented that they don’t see what the big ol’ deal is.  It’s a safe surgery, right?  It’s just another way to get that baby out, right?  If it means they don’t have to push for hours, then all the better.  Some women say their doctor wants them to have a C-se

Oregon’s ‘Hard Stop’ On Early Inductions and C-Sections

Oregon, my home state, is being heralded as the latest state to take a hard line on out of control c-sections and inductions. Here’s what the headlines say:

Hospitals take 'hard stop' on early elective C-sections and inductions -
Oregon is the latest state where some hospitals are refusing to do the procedures before 39 weeks of pregnancy.

Birth After C-section

When Eveline Andrews, 28, of Baytown, Texas, was in labor with her first baby three years ago, her doctor told her that she had a narrow pelvis and required a Cesarean section. But when Andrews became pregnant again about a year after giving birth, she felt strongly that she did not want surgery again. At first her obstetrician refused to agree to let her try for a vaginal birth after Cesarean (VBAC) because he felt a repeat C-section would be safer. Andrews persisted, however, and her doctor gave in—and at 40 weeks, she had an uncomplicated vaginal delivery.

Women’s Right to Choose

Kudos to the American Congress of Obstetricians and Gynecologists (ACOG) for taking a step in the right direction.  Last week, they announced less restrictive guidelines for VBACs, twin births and other candidates for vaginal delivery.  ACOG realized their previous guidelines for when VBACs could occur essentially eliminated most of them.  They were so restrictive they’d radically increase

C-Section Scars 101

There’s no avoiding it. Pregnancy permanently changes you. Some women come through pregnancy with smooth bellies and unmarked skin but most of us have a few souvenirs like stretch marks, saggy skin, poochy tummies and surgical scars. Now that more than a third of all babies are delivered by c-section a third of all Moms have c-section scars. Here are a few FAQs about the most common surgical scar around.

How do readers feel about the c-section rate?

A couple weeks ago I asked readers if the rising c-section rate bothered you or if y’all were OK with the way things are going.  I also asked what you’d be willing to do to bring the ever-rising rate down.  The number of answers I received was, frankly, underwhelming.  Unlike my recent blog about whether kids should be banned from airplanes, which garnered something like 150 comments (when it was posted on

My Annual C-section Rate Blog

It’s my annual “the c-section rate is still climbing” blog and once again, we’re breaking records. The data for 2007 (most current data available) was published last week by the Centers for Disease Control and National Center for Health Statistics. Drum roll, please…. here are the numbers:

Why You Don’t Want a C-Section

When I hear women debate whether it’s better to have a vaginal birth or a Cesarean section, I’m able to offer a rare perspective: I experienced both—in the same delivery.

I popped out my first twin, Toby, the old-fashioned way. But my second little guy, Ian, was delivered by emergency C-section after his umbilical cord dropped down before he did, potentially compromising his oxygen supply.

Needless to say, I’m grateful to have had that C-section; but in the absence of an emergency situation like mine, I’d choose a vaginal delivery any day.

A Woman's Right to Choose a VBAC

This CNN headline caught my eye: "Mom won't be forced to have C-section". A woman currently expecting her fourth child is making national news for standing up for her reproductive rights, in the delivery room. 

Joy Szabo delivered her first son seven years ago by normal vaginal delivery.  Son number two was an emergency cesarean section and number three, another vaginal delivery.

Everything I Hoped For

I worked the loveliest labor recently. Marisol and Carlos* arrived on our unit early in my 7AM to 7PM shift, the first patients of my day. I'd woken up that morning hoping for a sweet couple with one of my favorite midwives and to steer clear of the operating room. One never knows what's going to happen on any shift. I could be assigned to anyone: the 7:30 scheduled c-section, an induction, three postpartum mother-baby couplets, the 10AM D&C for miscarriage, outpatients, or any one of a number of labor scenarios.

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