Have you heard that it's unsafe to have a VBAC with a short birth interval or after two cesareans?
Or that the risk of uterine rupture increases dramatically after 40 weeks or with a macrosomic (big) baby?
If you want to learn what the evidence actually says, but you haven't had the time to do the research yourself, this online training is for you!
But after I had my cesarean for footling breech, it all changed.
I learned how difficult it was for parents to find reliable information on VBAC and how challenging it was for professionals to stay on top of the ever growing mountain of evidence.
I wanted to help, so I founded VBAC Facts, an educational, training, and consulting firm.
For almost a decade, I have traveled the country as a continuing education provider offering educational courses for parents, trainings for professionals, and legislative consulting for organizations.
When I was asked to present Grand Rounds on uterine rupture at California Hospital, I jumped at the chance.
Over the course of 60 minutes, we will review the evidence on how four factors impact the risk of uterine rupture:
We will also discuss the three ways to evaluate medical research on VBAC and navigating informed refusal when risks are increased.
This course is for you if:
As a Maternal-Fetal Medicine specialist, I see hundreds and hundreds of women who are cared for by other OBs.
Talking with women with prior cesarean deliveries, I have come to realize all the misinformation that is imparted to them, all in the interest of convincing them to agree to a repeat cesarean delivery (even when the woman strongly desires a trial of labor).
The reasons that these women have quoted to me as what their OB doctor told them why they cannot have a trial of labor are so varied that I know they cannot possibly be evidence based.
I just haven't gotten around to doing a thorough literature search to know what exactly the evidence is on these issues.
I attended Jen Kamel's "The Evidence on Uterine Rupture" and - IN ONE HOUR - I now feel well informed on this issue.
She presented all the relevant studies as well as reviewing their sample sizes, methodologies, definitions used, and confounding factors.
When I counsel my patients in the future, I will be able to do so with a much more authoritative command of the current literature. Thanks Jen!
Emiliano Chavira, MD, MPH, FACOG
Maternal-Fetal Medicine and Obstetrics & Gynecology
- Eisner Pediatric and Family Medical Center
- San Gabriel Valley Perinatal Medical Group
- MFM Associates
Jen Kamel has been a VBAC Strategist and nationally recognized consumer advocate since she founded VBAC Facts nearly a decade ago. Through her work, she has traveled the country as a national speaker and California Board of Registered Nursing Continuing Education Provider presenting her program "The Truth About VBAC" to hundreds of professionals and highly motivated parents. She has also worked as a legislative consultant in various states including California, Kentucky, Oklahoma, and Indiana focusing on midwifery legislation and regulations. She has spoken at national conferences including the American Association of Birth Centers, DONA, Lamaze, ICAN, and Human Rights in Childbirth and has been a featured guest on several radio shows and podcasts. She has testified multiple times in front of the California Medical Board and legislative committees on the importance of VBAC access, is a board member for the California Association of Midwives, and has served as an expert witness in a legal proceeding.