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There are too many myths about VBAC to count. Good thing we give the top 40 a quick smashing in this episode. VBAC Facts® Founder Jen Kamel highlights critical information about VBAC safety, risks, and the support provided by national health organizations. She addresses common misconceptions about uterine rupture, perinatal and maternal mortality, midwives, and the risks associated with repeat cesareans. The episode features emails from listeners sharing their experiences including a reader who had a hospital vaginal birth after two cesareans and a uterine defect discovered during her first cesarean. Jen emphasizes the importance of informed decision-making, patient autonomy, and the role of evidence-based practices in improving VBAC outcomes. Have a comment or question for the podcast? Want to suggest a guest we should interview or a topic we should discuss? Go to https://vbacfacts.com/podcast to give us your feedback! Music produced by (Analogue)/(prod. Analogue). Instagram: @prod.analogue 00:00 Introduction and Content Warning 01:12 Today's Topic: VBAC Myths 01:51 Foundational VBAC Information 03:30 National Organizations Support VBAC 04:23 Quote Summarizes VBAC Research 05:10 Providers Who Always Recommend Repeat Cesareans 09:19 VBAC After Multiple Cesareans 11:17 "My Doctor Won't Let Me VBAC" 15:19 The VBAC Calculator 16:03 Reader Story: VBA2C After Uterine Defect 19:33 Hospital Policies and VBAC 24:17 Uterine Rupture and Perinatal Mortality 29:47 Understanding Uterine Rupture and Placenta Location 30:15 Impact of Amniotic Sac on Uterine Rupture Outcomes 30:46 Time to Diagnosis and Delivery in Uterine Rupture 31:09 Factors Influencing Uterine Rupture Outcomes 31:34 Maternal Mortality and Uterine Rupture 32:25 Maternal Mortality: Planned VBAC vs. Elective Repeat Cesarean 36:03 VBAC Facts® Professional Membership and Resources 37:15 Jen is Speaking in Washington State April 2025 38:35 VBAC Myths Contributed By Readers 43:13 "What is the Risk of Uterine Rupture Really?" 50:40 Can Midwives Attend Planned VBACs? 51:36 What Hospitals Can Safely Offer VBACs? 53:46 How You Birth Your Baby is Morally Neutral Learn more at VBAC Facts® Professional Membership with our Continuing Education Trainings: https://vbacfacts.com/membership (Approved for Nursing CEs) Decoding Maternal Deaths: Why Birthing People Die and How We Can Turn the Tide The Truth About VBAC™ Induction: How to Decrease Uterine Rupture Risk and Maximize VBAC Odds Decoding Classical, T/J, and Low Vertical VBAC: Navigating Limited Knowledge and Unknown Risk The Truth About VBAC™ Fetal Monitoring The Limited Evidence on VBA3+C: Decision Making in the Midst of Uncertainty The Truth About VBA2C: Risk, Rates, & Outcomes Single vs Double Layer Suturing: Is One Method Superior? Learn more at VBAC Facts®: https://vbacfacts.com/blog Vaginal birth after classical incision: The true story behind the 4-9% uterine rupture rate - VBAC Facts® "Hospitals offering VBAC are required to have 24/7 anesthesia" is false - VBAC Facts® Vaginal birth after three or more cesareans (VBA3C/VBAMC): An overview of the evidence - VBAC Facts® Is VBAC illegal? Is homebirth illegal? - VBAC Facts® Vaginal birth after two cesareans (VBA2C): An overview of the evidence - VBAC Facts® What birthing families need to know about vaginal birth after a classical or T/J incision - VBAC Facts® Catastrophic uterine rupture: The risk of fetal death during planned VBAC - VBAC Facts® Birth intervals & uterine rupture aka how long to wait to VBAC - VBAC Facts® Other VBAC Facts® Services: Consulting: https://vbacfacts.com/consulting Speaking & Training: https://vbacfacts.com/speaking The Truth About VBAC™ for Families, online course for parents who have had a cesarean: https://vbacfacts.com/courses Medical Research Reference: Landon, M., Hauth, J., Leveno, K., & Spong, C. (2004). Maternal and perinatal outcomes associated with a trial of labor after prior cesarean delivery. The New England Journal of Medicine, 351(25), 2581-2589. O'Neill, S. M., Agerbo, E., Khashan, A. S., Kearney, P. M., Henriksen, T. B., Greene, R. A., & Kenny, L. C. (2017). Trial of labour after caesarean section and the risk of neonatal and infant death: a nationwide cohort study. BMC Pregnancy and Childbirth, 17(1). Vandenberghe, G., Bloemenkamp, K., Berlage, S., Colmorn, L., Deneux-Tharaux, C., Gissler, M., . . . Roelens, K. (2018). The International Network of Obstetric Survey Systems study of uterine rupture: a descriptive multi-country population-based study. BJOG. Other Resources: California Maternal Quality Care Collaborative Toolkits: https://www.cmqcc.org/resources-tool-... "How to Keep House While Drowning" by KC Davis - Purchasing through this link will support a Black-owned bookstore: https://bookshop.org/p/books/how-to-k...