Episode 40: VBACs: Interview with Jen Kamel

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The topic of today’s episode is: VBACs or Vaginal Birth After Cesarean. I had the honor of interviewing Jen Kamel for this episode. Jen is the founder of VBAC Facts.com. In this episode Jen shines a light on the misconceptions about the safety and risks associated with VBACs and we discuss ACOGs current recommendation as well as the data surrounding this topic.

I hope this episode educates and encourages any parent who has previously had a Cesarean birth and is considering their options for their next birth.

In this episode we discuss:

Jen’s background and how she came to start VBACfacts.com

What is a VBAC?

  • Vaginal Birth After Cesarean: when someone has a Cesarean section birth in a prior pregnancy and then they decide that they want to labor and have a vaginal delivery with their subsequent child

Language is important! Patients/clinicians should use the phrase: “Planning a VBAC"

What risks are associated with Laboring After a Cesarean?

  • The risk of uterine rupture after 1 previous low transverse Cesarean birth without induction or augmentation is 0.4%

How do the risks of a VBAC compare to the risks of complications from a Cesarean?

  • Both are associated with rare adverse outcomes
  • The most talked about risk associate with VBAC is: uterine rupture after 1 previous low transverse Cesarean birth without induction or augmentation is 0.4%
  • A major risk associated with Cesarean is placental abnormalities like Placenta Accreta, this increases with each prior C-section

Do the risks differ with a first VBAC vs. VBA2C or multiple C-sections, or babies?

  • Risk of uterine rupture decreases after a first VBAC
  • VBA2C stands for: Vaginal Birth After 2 Cesareans

What steps can you take in pregnancy and labor to increase chances of having a VBAC?

Find out if your provider is supportive of VBAC

  • Ask questions
  • Ask for evidence
  • Research your options for second opinions or finding another provider if your provider is not supportive of your choices

Mindset

  • Surround yourself with a bubble of peace and supportive people
  • Have a mindset of: I am going to Labor After Cesarean

Arm yourself with the facts

  • You can talk confidently about your choices
  • Advocate for yourself
  • Familiarize yourself with the evidence

How has COVID affected C-section rates in general, in the US?

How to get in touch with Jen and VBACfacts.com:

How to get in touch with me:

Support the show (https://www.patreon.com/findingyourvillagepod?fan_landing=true)

64 episodes