April is Cesarean Awareness Month. While it can be a life-saving procedure for mom and baby, a cesarean is often prescribed when vaginal birth is a safe and sound option. Be aware that you have options, that you have a right to ask questions, and a right to know your risks. Educating yourself about birth is your best and first defense against an unnecessary cesarean.
Throughout the month, Giving Birth with Confidence has posted cesarean resources for moms. We encourage you to comment with your experience as well as any questions. For more information be sure to check out the International Cesarean Awareness Network Blog.
A Woman’s Guide to VBAC
In June 2010, a National Institutes of Health (NIH) panel published a Consensus Development Conference Statement on vaginal birth after cesarean (VBAC).
In addition to examining the current evidence related to VBAC and offering recommendations for future research on this topic, the NIH panel concluded that VBAC was a “reasonable option” for most women with a previous cesarean section. The statement has not changed as of the time of this post.
Even with all that is included in the NIH Statement on VBAC, it might be difficult for many of us to wade through the information in it and figure out what it means for us and our particular birth options and unique circumstances.
A group of maternity care experts and VBAC advocates came together to create A Woman’s Guide to VBAC: Navigating the NIH Consensus Recommendations, a free online resource guide that addresses the most common and pressing questions women may have about their birth choices in what could be called the “post-NIH-Consensus-Recommendations Era.” We hope the Guide gives you the tools you need to empower yourself to advocate for you, your baby, and your birth choices!
Sections in A Woman’s Guide to VBAC:
- Weighing the Pros and Cons of Planned Vaginal Birth after Cesarean and Repeat Cesarean Section
- VBAC Success Rates and Prediction Models: Understanding Your Chances of Important Outcomes
- Putting Uterine Rupture into Perspective
- Are You an “Ideal” Candidate for VBAC? What Are Your Choices If Not?
- The “Immediately Available” Standard: Where It Came from, What It Means, and How to Move Forward with New Evidence and Guidelines
- What We Don’t Know: Critical Gaps in Evidence and How to Make Informed Choices In Spite of Them
- Discussing Your Options with Your Care Provider
- Legal Rights and Protections for VBAC: Issues from the NIH Consensus Conference
- Take Action!
This guide is dedicated to all of us who are maternity care consumers, whether we are currently pregnant, have been pregnant, or simply work and advocate on behalf of pregnant women.
What is a National Institutes of Health Consensus Development Statement?
This statement is the product of an NIH Consensus Development Conference. These two-and-a-half day conferences — which are free and open to the public — are organized by the NIH to address issues in medicine that are both controversial and pertinent to health care providers and the general public.
During the NIH Consensus Development Conference on VBAC, an independent panel listened to presentations given by invited expert speakers. The panel also heard input from members of the general public during Q&A sessions. Finally, drawing upon the conference proceedings and upon a systematic review of the evidence on VBAC, the panel drafted their statement on VBAC.
Like all Consensus Development Statements, the statement on VBAC is not legally binding. It does not create practice guidelines, nor does it establish any health policies. Nonetheless, it is still an exceedingly important document. In fact, because of the high-quality evidence that the NIH panel uses to create consensus development statements, the NIH claims that it is “reasonable to expect that the panel will be able to give clinical guidance” to care providers.