Virginia C-section Rates by OB
Virginia Health Information has released information regarding OBs and their c-section rates. Information can be found at the Virginia Health Information website.C-section rates in Virginia
NIH VBAC panel finds VBAC safe
Today, a statement was released from the NIH VBAC consensus stating that evidence shows VBACs are a safe alternative to a repeat c-section. According to their statement: "Given the available evidence, TOL is a reasonable option for many pregnant women with a prior low transverse uterine incision." Additionally, "We are concerned that medico-legal considerations add to, as well as exacerbate, these barriers. Policymakers, providers, and other stakeholders must collaborate in the development and implementation of appropriate strategies to mitigate the chilling effect of the medico-legal environment on access to care"
The complete statement released by the panel can be found here: NIH VBAC Consensus statement
The post conference press release can be found here: NIH VBAC post conference press release
ACOG modifies VBAC guidelines
ACOG has modified their VBAC guidelines! Their guidelines state that twin pregnancies, VBA2C (Vaginal birth after two cesareans), large babies, post-dates, and unknown surgical incision should not be reasons to disallow a VBAC. Additionally, the new bulletin (#115) also states that the choice should be made up to the woman regarding the decision to attempt a VBAC or have a repeat cesarean.
To see the press release from ACOG, view this link: Ob-GYNs Issue Less Restrictive VBAC guidelines