E4: The Rules About VBAC (Part 2): A Deep Dive into US VBAC Guidelines

Описание: You might be surprised to read what the US national guidelines actually say about VBAC. Join Jen Kamel, founder & CEO of VBAC Facts®, as she delves deep into the American College of OB/GYN's VBAC guidelines. The episode covers a range of topics including external cephalic version, epidurals, VBAC in rural hospitals, and who makes the ultimate decision regarding mode of birth. Jen provides a detailed analysis of the guidelines and emphasizes informed decision-making, patient autonomy, and the importance of ethical practices in maternal care. She also highlights the role of continuous fetal monitoring, managing complications, and the significance of sharing accurate information among clinicians and patients.

00:00 Welcome!
00:41 External Cephalic Version (ECV)
02:05 Pain Relief and Epidural Analgesia
03:29 Diagnosing Uterine Rupture
06:01 Manual Uterine Exploration and Dehiscence
07:59 VBAC After Uterine Rupture
09:21 Counseling After Previous Cesarean
12:03 VBAC in Rural Hospitals
28:11 Patient Autonomy and Informed Decision Making
43:45 Conclusion and Summary of Recommendations

VBAC Facts® resources
Article: New study reveals surprising truths about the VBAC calculator:https://vbacfacts.com/2020/02/24/new-...
VBAC Facts® professional membership (https://vbacfacts.com/membership): where we house a library of continuing education trainings including...
The Truth About VBAC™ Fetal Monitoring
The Truth About VBAC™ for Professionals

Studies mentioned
"One study cited about only 4 percent of uterine ruptures are associated with an intrauterine loss of pressure:" Nahum, G. G. (2016). Uterine Rupture in Pregnancy: http://reference.medscape.com/article...
"Dr. Mary Barger's 2013 study looked at all the hospitals in California that have 24 7 anesthesia:" Barger, M. K., Dunn, T. J., Bearman, S., DeLain, M., & Gates, E. (2013). A survey of access to trial of labor in California hospitals in 2012. BMC Pregnancy and Childbirth, 13(83). http://www.ncbi.nlm.nih.gov/pmc/artic...

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. https://www.acog.org/clinical/clinica...

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