In this enlightening episode, Ashley welcomes Dr. Stu, a seasoned obstetrician with 28 years of hospital experience and 13 years in home birth settings.
They discuss the significant differences in VBAC success rates between home and hospital births, the impact of special scars on VBAC, and the importance of understanding the historical context of medical practices.
Dr. Stu shares his unique perspective on the current state of obstetric care, the potential pitfalls of overly regulated birth policies, and the necessity of birth freedom.
Key Points Discussed:
VBAC Success Rates:
- Home VBAC success rates are over 90%.
- Hospital VBAC success rates are around 56-64%.
- The difference is attributed to the model of care and the environment.
Special Scars and VBAC:
- True classical C-sections have a 2-4% risk of rupture.
- Other incisions like low vertical or T-incisions don’t show significant risk differences.
- Risk counseling can sometimes be biased.
Historical Context in Medical Practices:
- It’s important not to judge past actions by today's standards.
- Learning from history is crucial to avoid repeating mistakes.
- Current high C-section rates in some countries indicate a troubling trend.
Importance of Birth Freedom:
- Electing officials who support birth freedom is crucial.
- Women should plan ahead, find supportive teams, and prioritize positive birth experiences.
- The need to challenge and rethink overly restrictive birth policies.
Dr. Stu’s Experiences and Views:
- Transition from hospital to home birth settings.
- Advocacy for natural and informed birth choices.
- Critical views on the regulation of birth practices and the influence of big pharma on medical research.
Stay Connected with Dr Stu:
- Podcast: Birthing Instincts (Available on Spotify, Apple, and other apps)
- Instagram: @birthinginstincts
- Website: Birthing Instincts
- Consulting Services and Published Papers: Available on the website
More from Ashley:
The VBAC Village
Insta: @ashleylwinning
Website: www.ashleywinning.com
Join our VBAC Homebirth Support Group here
