Many times in my research and interviews I have come across the truth that part of the limitations on the availability of VBAC to women who have had cesarean is not because the option is not a safe one, but because The American College of Obstetrics and Gynecology has such restrictive guidelines on this birth option. Pushed, by Jennifer Block explains this in detail.
On July 21, 2010, ACOG announced its new less restrictive guidelines for VBAC, stating it is a safe option and should be offered to women.
In keeping with past recommendations, most women with one previous cesarean delivery with a low-transverse incision are candidates for and should be counseled about VBAC and offered a TOLAC. In addition, “The College guidelines now clearly say that women with two previous low-transverse cesarean incisions, women carrying twins, and women with an unknown type of uterine scar are considered appropriate candidates for a TOLAC,” said Jeffrey L. Ecker, MD, from Massachusetts General Hospital in Boston and immediate past vice chair of the Committee on Practice Bulletins-Obstetrics who co-wrote the document with William A. Grobman, MD, from Northwestern University in Chicago.
It truly blessed my heart to see this, as we know from research VBAC is a safe option for those who seek a vaginal birth, and in many cases holds less risk then repeat surgery. The recent conference held by the National Institutes of Health undoubtedly influenced these new recommendations.
This brings hope to many women nationwide, and is most definitely a step in the right direction to improving the state of maternity care in our country.