This week’s Rachel fan club is now in session. She is guest blogging at Our Bodies, Our Blog, and wrote a great post about a woman being denied care at the end of her pregnancy by her doctor when she wanted to attempt a VBAC and didn’t want continuous external fetal monitoring.
Now, Rachel would be the first to tell me that systemic reviews aren’t the gold standard, but I thought VBAC was shown to be about 75% to 80% successful in individual studies and maybe in a systemic review, and I know continuous external fetal monitoring was shown to not improve birth outcomes, it only increased the cesarean rate, often unnecessarily.
I have a question. If VBAC is even only 70% successful, that would mean the rate of cesarean section is LOWER for attempted VBACs than it is for all births in all hospitals in Miami-Dade County. Right? So, I would consider wanting a VBAC a bad reason to dump a client for unreasonable requests.