You are currently browsing the VBAC/Cesarean category.

Nationwide, Certified Nurse Midwives (CNM) attend approximately 10% of all births.  In Pennsylvaina the percentage is slightly better, at about 11-12%.*  How does the Lehigh Valley stack up against this? Continue Reading…

Average Rating: 4.5 out of 5 based on 171 user reviews.

Posted 8 years, 1 month ago at 2:21 pm.

1 comment

Early in my career in childbirth, I could expect to see the previous year’s release of “vital” birth statistics show up on the PA Department of Health website by July or August. In past years for some reason the release of this data has gotten slower and slower. You may recall that the data for 2008 was released just before Christmas 2009.

Well the 2009 data was not quite so prompt. I waited for it not so patiently. I finally decided about 2 weeks ago while looking for the data late in the evening that I would call the Department of Health–but obviously I couldn’t call right then. When I did call, I was told that it was just put on the website the previous day. Amazingly, it had been—I just had kept the webpage open on my computer for several days before I remembered to call, and had not refreshed it. I did ask the representative I spoke with why it was taking so long to publish data, and all she could tell me was what I was told a few years ago—“improvements” with the birth certificate in 2003 have changed how data is collected. Hmmm…interesting “improvements.”

Well, with no further ado, here is the beginning of my evaluation of the 2009 data. Continue Reading…

Average Rating: 4.7 out of 5 based on 189 user reviews.

Posted 8 years, 2 months ago at 2:44 am.


Today USA Today carried a report that the CDC has announced that certain prescription pain killers, when taken just prior to pregnancy, or during the first trimester, may double the risk of congenital heart defects in the infant.  These heart defects are often fatal in the first year of life, and if they aren’t fatal, they usually require many expensive surgeries to correct, and of course much pain and suffering for the infant.

However, the study authors noted that the risk from prescription painkillers in any one pregnancy is small.

“It’s important to acknowledge that although there is an increased risk for some types of major birth defects from an exposure to opioid analgesics, that absolute risk for any individual woman is relatively modest, ” lead author Cheryl S. Broussard, of CDC’s National Center on Birth Defects and Developmental Disabilities, said in the news release.

In other words… Continue Reading…

Average Rating: 4.6 out of 5 based on 166 user reviews.

Posted 8 years, 2 months ago at 9:33 pm.

Add a comment

The Birth Activist recently wrote about restrictions of food and fluids for laboring and women, and how Robbie Davis-Floyd has written about this phenomenon as a “rite of passage.”  The Birth Activist highlighted a recent Cochrane Review that found that food/fluid restrictions in labor are unnecessary, something I agree with whole heartedly, having eatten a VERY large breakfast more than 12 hours after contractions had started in my first labor.  She then points out that Robbie Davis-Floyd has long identified the ban on eating/drinking in labor as a “rite of passage.”

Speaking of “rites of passage, ” what is with making the dad put on scrubs before he can go with his wife to the OR? She wears the same hospital gown into the OR that she’s been wearing for hours in labor…but he needs to put on scrubs. As a doula, when I’m allowed to go in, I’m given a set of hospital scrubs to put on…even though I’m already wearing my own scrubs. I’ve never argued it because it just doesn’t seem worth the ill will…but really, what is the point?

I understand why the medical staff wear scrubs– Continue Reading…

Average Rating: 4.4 out of 5 based on 206 user reviews.

Posted 9 years, 3 months ago at 12:46 am.


In all the flurry about VBAC access and VBAC bans, sometimes the “primary” cesarean rate can get lost in the shuffle.  I think the primary cesarean rate is the most misunderstood of all the cesarean statistics.  I see the media mis-define it over and over, and even occassionally I see medical professionals misdefine it.

And yet, because a primary cesarean, is, by definition, the first cesarean a woman has, it may be, perhaps, her most important.  Because it is the one that forever labels her as high risk in future pregnancies.  As Joy Szabo and many women like her have found, having a vaginal birth after the cesarean, even having multiple vaginal births in ones history, does not erase the scarlet letter that a woman “earns” when she has that primary cesarean. Continue Reading…

Average Rating: 4.9 out of 5 based on 237 user reviews.

Posted 9 years, 4 months ago at 11:30 pm.


On the topic of VBAC bans, 19 hospitals in PA reported having “De Facto” bans (D), while 5 reported having “official” bans (B) in the survey done by ICAN in early 2009.  Oddly, 2 of the hospitals reported to have a VBAC ban have VBAC rates over 10%–12.2% at Bloomsburg Hospital in Cambria County, and 14% at St Joseph Medical Center a bit closer to me in Reading, Berks County.  I have to wonder if in each of these cases, the person who was answering the ICAN caller was simply unaware of what the policy was?  Continue Reading…

Average Rating: 4.4 out of 5 based on 218 user reviews.

Posted 9 years, 4 months ago at 7:30 pm.

Add a comment

After publishing my initial post about the cesarean stats in PA, focussing on the Lehigh Valley, my goal was to continue on with an analysis of the whole state.  Jill at The Unnecessarean “scooped” me slightly by posting the cesarean rate for all hospitals in PA, but I don’t mind.  Thank you Jill, for jumping on board!  The more voices, the merrier!  Well…maybe not “merrier” on this topic…but we definitely need as many voices as possible if we want positive change.

I’m going to present a bit more analysis though still.  I hope this is helpful for someone! Continue Reading…

Average Rating: 4.5 out of 5 based on 201 user reviews.

Posted 9 years, 4 months ago at 7:05 pm.


In an early Christmas present, the PA Department of Health has released birth data for 2008, including cesarean statistics by hospital.

The cesarean rate in PA in 2008 rose just under 3% over 2007, going from 30.05% to 30.86%.  Most likely this will still keep us under the national average…but just barely.  The VBAC rate dropped from 13.8% to 13.3%.  

Looking more local to the Lehigh Valley, some of the results are very sobering.  Overall, the combined data for the 5 hospitals in the Lehigh Valley with maternity units saw their cesarean rate Continue Reading…

Average Rating: 4.5 out of 5 based on 250 user reviews.

Posted 9 years, 5 months ago at 12:43 am.


You may recall that I blogged about Joy Szabo 2 months ago.  At the time, she was pregnant, and was seeking media coverage because she had learned that the hospital closest to her, Page Hospital in Arizona, was denying her request to VBAC.  Ms. Szabo’s case was particularly troublesome because the nearest hospital to her that would “allow” VBAC was in Phoenix,  a 6 hour drive from her home,  and Ms. Szabo already had 2 vaginal births, so certainly would be expected to have good odds for being able to achieve her desired VBAC.  Having the cesarean would actually have put her baby and herself at a higher risk of complications than having a VBAC would.

Unfortunately, Ms. Szabo’s situation is far from unusual.  Continue Reading…

Average Rating: 4.9 out of 5 based on 152 user reviews.

Posted 9 years, 5 months ago at 1:58 am.


The work that is done by the International Cesarean Awareness Network, or “ICAN” is important and worthwhile.  My hat is off to all the women who are part of this organization.  I actually had the opportunity just this morning to be a guest at the Lehigh Valley ICAN group meeting, and am immensly pleased that someone has finally stepped forward to form a group in this area. Continue Reading…

Average Rating: 5 out of 5 based on 219 user reviews.

Posted 9 years, 7 months ago at 2:30 pm.


  • breastfeeding
  • and together
  • ultram interaction
  • 5 mg dose
  • foods high in vitamin k to avoid while on
  • per quanti giorni va preso
  • mass times
  • o que o pode causar
  • para que es el pomada
  • is inhaler safe during pregnancy
  • nausea treatment
  • positive results
  • cross blood brain barrier
  • acetaminophen interaction
  • overdose treatment
  • erectile dysfunction drug opera
  • pfizer lawsuit
  • panic attacks
  • dosis para 2 semanas
  • does it cause weight gain
  • motor factors dublin
  • pediatric taste
  • dosage to treat c diff
  • and uti dosage
  • vs
  • can i take and zoloft together
  • side effects stomach cramps
  • bula pfizer
  • nursing considerations
  • generic manufacturers
  • ointment pregnancy
  • how does work
  • soft tabs review
  • does 2 work
  • vs dementia
  • quintuplets
  • lek na cholesterol
  • bloating pain
  • estrogen cream
  • treatment migraine
  • difference between and
  • oglasi
  • dosage frequency
  • need help paying
  • 112 mcg cost
  • 200 efectos adversos
  • and the same thing
  • et constipation
  • pill form
  • vs
  • side effects tremor
  • peak effect
  • yellow capsule
  • 1 niAos
  • side effects tardive dyskinesia
  • can you take vicodin together
  • dose for pediatrics
  • acute renal failure
  • funny taste in mouth
  • safely
  • max dose iv
  • fda approval bipolar
  • lining
  • help sleep
  • i upotreba
  • 25 mg bula
  • epidural catheter removal
  • baby yeast infection
  • 37.5mg reviews
  • side effects of weight gain
  • does raise your blood pressure
  • medicinenet
  • liver damage
  • detox off
  • and combination
  • prescription for men
  • chemotherapy for breast cancer
  • 100mg
  • patent expiration
  • together
  • vs
  • in children
  • safe breastfeeding
  • fibromyalgia
  • cutting pills
  • diphenhydramine interaction
  • crohn's disease treatment
  • interchange
  • is over the counter drug
  • comp spc
  • 500 mg price cvs
  • new warning label
  • what are the withdrawal side effects of
  • half life
  • normal dose seizures
  • show drug screen
  • and pancreatitis
  • glaxosmithkline
  • did stock split
  • difference between retin-a and
  • tinnitus side effects
  • is 15 mg solutab otc
  • can i take with
  • side effects sleeplessness
  • normal dosage cold sores
  • drug interaction between
  • efectos secundarios largo plazo
  • and menstrual cycle changes
  • evohaler for infants
  • equivalent
  • bus tours
  • dosis pediatrica
  • autism
  • much does prescription cost
  • mamo fishman
  • ovidrel
  • 3 tagen
  • 200 mg price comparison
  • precio plus mexico
  • pulse rate
  • hordeolum treatment
  • vs lortab
  • sharp clinic san diego
  • para hombres sirve para mujeres
  • class action suit
  • sale las vegas
  • seizure medicine
  • cost costco
  • pill image
  • difference between advil and
  • for sleep side effects
  • a los 4 meses de gestacion
  • will cause hair loss
  • efectos adversos del en jovenes
  • duo early pregnancy
  • 2nd generation
  • vs migraine
  • vs
  • dose for male uti
  • absorption vitamin c
  • drug classification
  • your period
  • solution
  • induced cerebellar atrophy
  • AYurup yan etkileri
  • drug interactions
  • frequently asked questions
  • sore joints
  • side effects kidneys
  • high yahoo
  • fda approval
  • xl alcohol
  • can you get high off 60 mg
  • clonazepam
  • como tomar o em um ciclo de m-drol
  • joint stiffness
  • vs
  • what is 5 mg used for
  • how to stop taking safely
  • decreases effectiveness of
  • or for eczema
  • how many cycles to get pregnant
  • and mild rash
  • low motivation
  • qual o melhor
  • 2gm
  • can you use during pregnancy
  • is safe during early pregnancy
  • product information
  • side effects acne
  • emergency surgery
  • phentermine weight loss
  • 20mg vs 40mg
  • how much can i take in a day
  • mexico venta
  • ciclo dianabol proviron
  • lyrica drug interaction
  • equivalent
  • for a uti
  • drinking alcohol while taking
  • side effects gastrointestinal
  • can you use cream while pregnant
  • mayo clinic withdrawal
  • can i take and at the same time
  • walmart price
  • bloating gas
  • what dosage of causes hair loss
  • advil
  • is a blood thinner
  • brulures d estomac
  • ambien together
  • otic solution
  • does cause insomnia
  • 37.5 sevrage
  • oromone 2 grossesse
  • raises triglycerides
  • dea schedule
  • 3 meses
  • morning or night
  • muscle relaxer
  • y
  • kombinere paracet og
  • coupons
  • can you take and together
  • starting
  • rotator cuff injuries
  • 2nd round after miscarriage
  • tardive dyskinesia
  • burping
  • and nebuliser
  • dosage 5 days
  • can you take
  • pilula
  • settlement class
  • which is better or
  • rebate card
  • keramag waschbecken nr.1 plan
  • eljo sortiment
  • 14 day free trial
  • 20mg pfizer
  • inert ingredients
  • for glioblastoma
  • how many grams in applicator
  • during pregnancy lawsuit
  • taking while breastfeeding
  • 200 mg bula
  • can you take prozac
  • mua thuoc o dau
  • gi bleed
  • h 12
  • side effects elevated levels
  • withdrawal hypomania
  • vs etodolac
  • drugstore
  • cual es mejor o
  • side effects birth defects
  • kopen
  • and namenda together
  • does make you sleepy
  • rx coupon
  • can take while breastfeeding
  • benadryl interaction
  • and together
  • &
  • drug interactions percocet
  • abdominal cramps after taking
  • taking
  • or
  • or hair loss
  • use iud
  • classification
  • substitute
  • free samples
  • a la reunion
  • alcohol
  • hard capsules side effects
  • can take ativan
  • photos of patients
  • forest pharmaceuticals patient assistance
  • warnings
  • pediatrico def50
  • affect sperm
  • und
  • and alcohol interaction
  • side effects rash
  • can i take if pregnant
  • caffeine interactions
  • dosage
  • order
  • buy generic online overnight
  • xr gluten free
  • positieve ervaringen met
  • converting er valproic acid
  • is amazing
  • taking twice a day
  • crema gravidanza
  • and high triglycerides
  • substitute
  • drinking wine while taking
  • buy suppositories
  • dry eyes after
  • u mAodego
  • toxicity infants
  • letra y acordes incomparable
  • oder
  • side effects cramps
  • er patient assistance
  • how fast should work
  • nr. 1 halbsAule
  • dosage for strep throat
  • and high
  • how much should i take
  • chapped lips go away after
  • xr maoi
  • generic fake
  • cvs generic
  • 75 150
  • xl 100mg
  • dosage schedule
  • pill photos
  • max dose 800
  • e gravidez no primeiro ciclo
  • and levo
  • increased prostate cancer risk
  • drug interactions
  • and z pack
  • what to expect 4th month of
  • can i drink alcohol
  • cr drug interactions
  • printable coupon
  • use newborns
  • que es 10\/20
  • buy generic
  • treats what type of bacteria
  • 5mg side effects
  • is over the counter in usa
  • e ovaio micropolicistico
  • off brands
  • 175 mg
  • dose gout
  • can take nurofen plus together
  • drug abuse
  • online
  • .generic
  • o triatop
  • serve medicamento f
  • withdrawal side effects anger
  • allegra d
  • o que acontece se mulher tomar
  • super active plus 100 mg
  • d dosage weight
  • pl
  • es dawkowanie u dzieci
  • is a prescription medication
  • abraxane breast cancer
  • how much to lose weight
  • false positive
  • cystic acne
  • hair loss
  • dosing time of day
  • can you get buzz
  • farmaco a cosa serve
  • wellbutrin drug interactions
  • cream missed period
  • good for sinus infections
  • vs for strep
  • prescription vs
  • e lorazepam
  • is going generic
  • starania o ciAA?A
  • should i quit
  • website taken down
  • day 30
  • side effects withdrawal symptoms
  • d 12 hour overdose
  • price
  • interaction
  • effects jelly
  • and combination
  • accidently took 2 pills
  • home office toronto
  • effets secondaires libido
  • difference between and
  • side effect constipation
  • bayer 20 mg preis
  • and
  • pediatric overdose
  • tablet singapore
  • switch from pristiq to
  • can buy cream online
  • to increase sperm count
  • children's caplets
  • versus versus
  • 875 joint pain
  • with
  • blood test taking
  • for girls
  • commercial
  • can you take dexilant
  • long cold sores contagious after
  • cold medicine
  • buy canada
  • group bmw
  • can cause tinnitus
  • spectre d'action de
  • pregnant after 150mg
  • rx coupon
  • can cause weight gain
  • versus which is better
  • buy cheap uk
  • is safe during pregnancy
  • cost 40 mg
  • before after antibiotics
  • how take
  • and together
  • contraindications
  • eucerin cream
  • stopping before tooth extraction
  • can you take and together
  • stopping side effects