Nevada Public Radio Listen Live

"All Things Considered"
Facebook Twitter Follow Nevada Public Radio

Support Nevada Public Radio
KNPR's State of Nevada About SON Archives Participate Specials

C-Sections and V-Bacs
C-Sections and V-Bacs

AIR DATE: April 16, 2012

Public health officials recommend that no more than 20-percent of births should be by C-Section. But, the number is actually more than 30-percent. Why are the numbers higher? Why is it becoming more popular with women?
We'll also look at V-Bacs, vaginal births for women who had C-sections in previous births. What questions should women be asking? If you're going through a pregnancy, what questions do you have about either procedure?
Joseph A. Adashek, MD, Assoc. Clin Prof University of Nevada School of Medicine, Maternal-Fetal Medicine
John T. Repke, MD, Penn State Hershey Obstetrics and Gynecology
Caroline Signore, MD, Program Officer Pregnancy and Perinatology Branch Eunice Kennedy Shriver National Institute of Child Health and Human Development
    comments powered by Disqus
    I was a V-BAC baby in 1959. I had 3 homebirths in the 1980's and then trained with Association For Childbirth International, (A.C.H.I.) to become a natural home birth midwife. I have attended 7 of my grandbabies at home. My website is I have grave reservations about the direction the "home birth" movement has taken. Go to Hurt by Homebirth or Look at the consumer complaints against Australian home birth midwives. We must up the standards and interface with our medical community for safe home birth...which never used to be equated with waterbirth. Baby seals are born on land.
    Kellie A. Sparkman L.M., C.P.M.May 3, 2012 11:24:07 AM
    Three doctors and no Midwives? A bit one-sided. Perhaps the station could feature Midwives and Doulas as guests and discus how they assist women, particularly those having VBACs in or out of hospitals? I would love to hear that side of the story!
    JessiApr 13, 2012 16:22:49 PM
    The numbers in Las Vegas are actually closer to 40% at some hospitals. I know there are women out their requesting c-sections (I don't believe this is the majority) but are they given the risks in such terms as they are given the risks as those women coming in asking for a VBAC?! I am a midwife serving my community and VBAC is a very viable option in Las Vegas/Henderson, NV. What is the difference in risk of doctors inducing with pitocin vs midwives attending a VBAC, yet doctors are inducing mother's all the time and talking about how "unwise" it would be to have a home birth. If you are going to have a discussion about benefit/risk it should include all sides. This was a very one sided representation regarding cesarean/vbac/benefit/risk scenarios. Know your options. Visit for local resources. I also wonder how hard you tried to find a midwife for your show, because just reading these comments I am the 4th midwife to comment and have talked to another 5 birth professionals who heard your show. We all have easy to find contact information as well.
    Kim TrowerApr 13, 2012 14:10:11 PM
    Hey Kim: I totally agree with your comments. I was told that the discussion was about the high Cesarean Section rate in Nevada. Then, when I got there, it turned into other things. I had no control on whether or not a midwife was invited. I'll see you soon, Joey Adashek
    JOSEPH ADASHEKApr 14, 2012 14:47:53 PM
    I have had a PERFECT vaginal birth after THREE c-sections. It was all due to the wonderful ladies at Pinkpeas (which is a Christian pregnancy center in Las Vegas; Bradley classes (child birth classes that reportedly lowers your chances of a repeat c/s A LOT- worked for me), and OF COURSE ICAN(International Cesarean Awareness Network)... I'm actually shocked that none of these agency's/ organizations are represented here.
    AlexiaApr 13, 2012 12:02:55 PM
    Why are there no midwives here? OB doctors are surgeons & most are really not interested in lowering their rates, because it means less money. They are more worried about getting sued & "play it on the safe side" rather than listening to the Mom. I've seen it used too often in the hospital setting. Fear is a very powerful tool!
    Marianne JacksonApr 13, 2012 11:20:36 AM
    I was surprised to learn that your discussion did not include those who actually see success with VBACs: midwives! The most stark absence, however, is that of those most affected: mothers! I have delivered 5 children safely at home, following a cesarean in 2000. The support of other mothers was crucial to my success. Mthers need to seek each other's support. A good place to start is the International Cesarean Awareness Network.
    Magdalena AlvarezApr 13, 2012 09:24:44 AM
    Why are there no midwives in this discussion? Why is ICAN not represented? Why are doulas and private childbirth educators not at the front of your discussion? Shallow, weak, and biased.
    Corrine FlattApr 13, 2012 09:10:56 AM
    Web hosting facilities provided by Switch.