Once a Cesarean, Rarely a Choice

Interesting.  Last week there were many stories  about the shocking increase in cesarean procedures (31.8%). Now I am finding out the NIH consensus group issued a statement in early March that women who had a prior cesarean should be given a choice of whether to give birth vaginally or by cesarean in subsequent births.

It will be interesting to find out how long it will take for this recommendation to work its way though the health system.  My prediction is many many years.  Please note that 40% of hospitals have bans against vaginal birth after cesarean (VBAC). 

With the current national cesarean rate of 31.8%, a VBAC (Vaginal Birth After Cesarean )rate of only 7.8%, and nearly 40% of US hospitals banning vaginal birth after cesarean, many women are finding they have no choice but to undergo major abdominal surgeries for the delivery of their children. However, many women, alongside providers and educators, have stood in opposition to this forced surgery as a fundamental violation of the mother’s right to choose what happens to her body and her baby. When the NIH announced the VBAC conference, many activists, mothers, and providers, felt this was an opportunity to beseech the researchers to look at the information available and see how the lack of choice has been harming mothers, their families, and even their providers. In a show of solidarity, birth activists from all over the world came to witness the conference, ask questions, and share the stories of the ways that forced cesareans have affected their lives or their practice

via Once a Cesarean, Rarely a Choice.

here is a link to the AAFP (American Assoc. of Family Physicians) on the same topic:     http://goo.gl/WbqE

and here is a link to the NIH consensus statement which has a table which shows that the mortality rates for VBAC is 4 per 100,000 while the mortality rate for women who receive cesarean is 13 per 100,000.  That is over a 300% difference: http://consensus.nih.gov/2010/vbacstatement.htm

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