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Down to Birth

#317 | The Risk of Uterine Rupture: Breaking Down ACOG's VBAC Bulletin

Down to Birth

Cynthia Overgard & Trisha Ludwig

Pregnancy, Childbirth, Postpartum, Midwives, Alternative Health, Home Birth, Society & Culture, Newborn, Documentary, Hypnobirthing, Kids & Family, Health & Fitness, Breastfeeding, Pregnant, Birth, Maternity, Motherhood

4.8586 Ratings

🗓️ 21 May 2025

⏱️ 56 minutes

🧾️ Download transcript

Summary

What's the one question every woman wants to answer when considering a VBAC? Is it safe for me and my baby? In today's episode, Cynthia & Trisha break down the available data on VBAC, why we should discard the term TOLAC, the actual risks of uterine rupture, whether induced with Pitocon versus a prostaglandin or having spontaneous labor versus expectant management. We present the few cases in which a woman should not choose to VBAC and help mothers understand their decisions should not be...

Transcript

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0:00.0

Not enough women are having V-backs, and the evidence is so in favor of having a V-back.

0:11.0

It's a very dramatic life experience to plan your first pregnancy and end up in a C-section.

0:15.7

That's a real blow to a lot of women, and a lot of them, despite themselves, do walk off with a deep feeling of

0:22.8

wondering, what if I really just can't do this? That's a lot to overcome. So what is the risk

0:29.9

of uterine rupture? Let's talk about the statistics. I'm Cynthia Overgard, owner of hypnoborthing of Connecticut, childbirth advocate, and postpartum support

0:40.5

specialist. And I'm Tresha Ludwig, certified nurse midwife and international board certified

0:46.6

lactation consultant. And this is the down-to-birth podcast. Childbirth is something we're made to do, but how do we have our safest and most satisfying

0:57.4

experience in today's medical culture let's dispel the myths and get down to birth

1:02.1

all right So this is not necessarily new news, but it's very important news. The American

1:19.3

College of Obstetrics and Gynecologists, also known as ACOG, updated their practice bulletin on

1:26.6

V-back, not too long ago, a few years ago.

1:29.8

I recently just came across it, so it's new to me, new to us.

1:33.3

And I think a really important topic that we have to continue to discuss.

1:39.2

We've talked about VAC on Patreon.

1:41.3

We have a great episode on preparing for your successful V-back.

1:46.1

You know, our personal take on how to get yourself the most successful V-back opportunity.

1:51.6

And we have a great episode on V-back on the podcast as well. You're going to have to tell me the

1:55.9

episode number because I do not know it. I think I'm, I think, and it feels like 63 or something like that. Whoa, that long ago? I think it was, well, because the number is making me remember the November that it was. Let's see if I'm right. All right. Look it up. Let's find out. And while I'm looking at it. You're good. Let's, if I'm right about this I'm really going to flip, though, because I haven't thought about that episode in years, but let's see.

2:20.7

It is such a weird.

2:22.6

It's just funny how I tend to remember numbers.

2:26.1

Let's just see if I'm even close.

2:27.9

Hang on.

...

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