The legality of VBAC

Ok so I am getting much better at researching things lol I was ok at it in the beginning now I am getting better and better with a little more free time to look through the pages and pages that come up when you search. Anyway I stumbled across this and thought it was a great read on the "truth" about why OB's don't like to do VBAC and why the ACOG has such an interest in it. Not for the better of the patient but for the better of the OB. Here is the intro!

The percentage of births that are cesarean is at an all time high in the United States while the rate for a vaginal birth after cesarean (VBAC) is at an all time low. Legal, medical and economic factors amalgamate to influence these rates. The recommendations of the American College of Obstetricians and Gynecologists (ACOG) have also impacted the VBAC and cesarean rates. The ACOG’s recommendations are an example of defensive medicine because the recommendations are not based on scientific evidence; they were imposed solely to prevent obstetrician/gynecologists from medical malpractice lawsuits. As a result, many pregnant women are restricted in choosing a delivery method and are subjected to unnecessary cesarean sections. This paper will examine the legal, medical and economic factors concerning VBACs and cesarean sections. Next, this paper will explore why a woman with a cesarean cannot deliver vaginally in a subsequent pregnancy. Finally, this paper will discuss the ACOG’s recommendations and explain why they constitute a defensive medicine procedure.

And this is all too true. All the scare tactics they use to discourage VBAC is soley because of malpractice and fear of law suits not based on the evidence. The only thing I can say so far that I don't like was this reference:

Eliminating VBACs may result in attempting a VBAC at home or visiting a birthing center that cannot perform an emergency cesarean.[121] Additionally, women trying to avoid another cesarean “have endangered themselves and their babies by staying at home in labor – or even staying in the hospital parking lot – until the last minute.”[122]

VBACing at home is just as safe if not safer then VBACing in a hospital. More one on one care that can catch the signs of a rupture before it happens instead of a few nurses juggling a bunch of patients and soley relying on a machine to tell them the well being of the mom and baby, able to be relaxed and move and eat as needed to keep labor progressing and not having 20 people come in during your labor to only shove their fingers in your vagina so less chance of infection. Over all its so refreshing to see this written by someone who has no ties to the VBAC controversy. Its about time!