The media circuits are buzzing this week with “news” of the safety of vaginal deliveries after C-sections (VBAC). While this really is not “news” for some, the new guidelines released by the American College of Obstetrics and Gynecologists marks a needed turning point in this country’s perception of a women’s ability to birth. The news the attention, ability and success of such a birth choice.

Candidates for VBACs are those women who have had a Cesarean birth using a horizontal incision low in the uterus (low transverse incision). It is recommended that such candidates undergo counseling in preparation for their VBAC, to encourage, support the women’s emotional and physical concerns.

Between 60 percent and 80 percent of women who attempt VBAC have a successful vaginal delivery, according to the guidelines.

The guidelines which are published in the August issue of Obstetrics and Gynecology, recommend that the following women may also be candidates for a trial of labor after a Cesarean:

• Women who’ve had two previous C-sections using a low transverse incision.
• Women who’ve had a C-section with a low transverse incision who are currently pregnant with twins.
• Women who’ve had a Cesarean delivery but don’t know if they had a low transverse incision.

The ACOG recommends that women who choose a VBAC birth choice should do so only if they’re in a facility that has “staff immediately available to provide emergency care.”

Women who are not eligible for a VBAC consists of:

• Women who’ve had a vertical incision on their uterus
• Women who’ve had/had Serious pregnancy complications such as placenta previa

Welcome back from your holiday weekend! In case you have not heard the wonderful news, the NY State Assembly has cleared the Midwife Modernization Act on July 1st. New York is now one step closer to granting women the right and access to midwifery care and home-births should they chose. With the passing of this act, it will no longer be a requirement for licensed professional midwives to have a “written practice agreement” with a physician or hospital as a prerequisite to practice. After the closing of St. Vincent’s, the only hospital in NYC to sign this agreement for midwives, women where stripped of their option to have a home-birth as the midwives were no longer legally allowed to practice homebirths.

Thanks to New York State Association of Licensed Midwives (NYSALM),Choices in Childbirth, BirthNet, Rochester Area Birth Network (RABN), Buffalo Birth and the various physicians including many OB/GYN physicians for spear heading the rally cry and for the thousands of people who signed petitions and called their legislators to overturn the WPA requirement and support the MMA.

Now, all that is needed for the bill to go into affect is Governor Patterson’s signature and 90 clearing days!

I will keep you all posted

Here is a nourishing and refreshing smoothy recipe from the ladies over at Mamatini.

Ingredients:

8 ounces Mamatini
1 cup of your favorite frozen fruit – blueberries, strawberries, pineapple
1 scoop whey protein powder
1 tsp/packet of your favorite natural sweetener
Optional Scoop of Green Vibrance Superfood Powder

Place ingredients in a high powered blender. Blend on high speed until smooth. Pour into a tall glass with straw and enjoy!

Mamatini was specially designed to help expectant and new mothers absorb and retain the minerals their body needs to have a more energetic and healthy start to motherhood while providing baby with the nutritional building blocks he or she needs to grow. In addition, Mamatini helps increase milk supply in mothers and aides to relieve baby’s colic symptoms. Click here to meet my write up on the brand from earlier in the year.