Evidence based care (practice or medicine) is a term that is used a lot these days when it comes to birth. What exactly does that mean?
You can see by the diagram that it is where the three factors intersect.
The first step, even before you choose your clinical care provider, is to figure out what your values and expectations are for your pregnancy and birth. This will likely involve some soul-searching. It will involve you learning about what’s happening with your body, and how to take care of yourself.
Learn what you can about birth, watch positive birth videos, and speak to others who have had positive birth experiences.
Check out the hospitals, and birth centers in your area. Learn about homebirth. Be open to exploring all options before you rule anything out.
Think about these questions:
How do you view your overall health?
Do you use western medicine frequently? (doctor visits, prescription drugs, over the counter meds)
Do you generally eat healthfully and exercise?
Do you know what best practices (produce the best outcomes) are for pregnancy and birth
Can you tell if the information you receive is factual?
What are your desires for your birth?
Vaginal birth after cesarean (VBAC) is an option for many women. There are risks, and benefits, as there are for many things in life. Ultimately, the choice to have a VBAC is up to the individual who is having the baby. It is most important to learn what is true and what isn’t, about the risks and benefits.
Generally speaking, cesarean-section is major abdominal surgery. Layers of skin are cut through, as is the uterus.
I have actually watched a cesarean surgery as they pull out the uterus and place it on the woman’s abdomen. It is fascinating, and also a major ordeal to go through.
It is important to note that the type of incision made to perform cesarean, can increase or decrease risk of uterine rupture when attempting a VBAC. Uterine rupture, while rare, can also occur with those who have never had a cesarean section.
Modern medicine can be a life saver, or it can be over used. Scare tactics, and misinformation abound when it comes to birth and to VBAC. It is a safe and viable option.
According to Practice Bulletin No. 184, the American College of Obstetricians and Gynecologists states:
“Good candidates for planned TOLAC (trial of labor after cesarean) are those women in whom the balance of risks (as low as possible) and chances of success (as high as possible) are acceptable to the patient and obstetrician or other obstetric care provider.”
There is no one size fits all, but rather a choice made by the pregnant person, based on benefits and risks of VBAC.
The World Health Organization (WHO) states that it isn’t possible to have a global mandate for acceptable cesarean section rates, as they also recognize there are many geographic and individual circumstances that contribute to the rates of cesarean around the world.
Knowledge is power. Learn all you can about VBAC, whether you are attempting one, or a doula supporting a pregnant woman, or someone else who wants to learn and educate others. You can take this course FREE, brought to you by my colleague, Nicette Jukelevics, and the VBAC Project.
I want you to be in the know on VBAC.
There are many ways to learn about pregnancy, labor, birth, babies and breastfeeding. There are books, videos and classes. It can be overwhelming, especially when you are getting conflicting information from all kinds of sources.
Google is a verb now. Very normal for those that grew up in this technological era. Whenever you want to know something you can google it. The only problem with this is that anybody can put any information they want to online.
How do you really know that the information is the most accurate available? In there lies the challenge in determining fact from fiction, to somewhere in between.
Because I am a research geek, and love the facts, and people that I work with love the facts, I always investigate until I find the source of the information. For example, you read one my blog posts about birth, and I have links to other websites to back what I have to say. You click on those, and maybe that is the end of the story.
Sharing my knowledge and wisdom about all things birth