International Cesarean Awareness Network

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Webinars

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Breech Birth Webinar

Breech shouldn’t automatically mean “mandatory surgery”. There are options. This webinar will help families and clinicians move from fear to facts. Rixa Freeze, founder and president of Breech Without Borders, shares the history behind breech and the research comparing birth modalities.

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Informed Consent Webinar

In this webinar with Dr. Stuart Fischbein of Birthing Instincts and Birthing Instincts podcast, we will break down the different types of informed consent and refusal.  We will also discuss decisional authority in relation to pregnancy and birth.

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Breech Options Webinar

When a baby remains in a breech presentation late into pregnancy, families are often not presented with options other than cesarean section. I will discuss all options, including planning a cesarean, vaginal breech birth and external cephalic version (ECV), and the risks and benefits of each. Understanding what each pathway involves is key to making an informed decision.

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Birth Stories Webinar

Birth stories are so individual and diverse, but each deserves to be heard and celebrated. Join us to hear stories showcasing how varied the reality of birth after cesarean can be.

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VBAC Facts Webinar

Join us for a Q&A with Jen Kamel, founder of VBAC Facts, as we answer ICAN community-submitted questions about labor and birth after cesarean.

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Birth and the Law Webinar

During this webinar with renowned lawyer and advocate Hermine Hayes-Klein and midwife-lawyer Wendi Cleckner, you will learn more about navigating through advocating for yourself and others in the birth space.

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Birth Centers Webinar

Join us for a look at birth centers and Capitol Hill policy in this webinar co-hosted with the American Association of Birth Centers.

Research

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Inter-pregnancy interval and uterine rupture during a trial of labour after one previous caesarean delivery and no previous vaginal births: a retrospective population-based cohort study

Predicted rates of uterine rupture ranged from 0.36% at zero to 0.19% at 21 months’ interpregnancy interval for spontaneous labours and from 0.91% to 0.47% for induced/augmented labours for parturients with a typical clinical and demographic background.

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Maternal and neonatal outcomes for women with a history of two caesarean deliveries undergoing trial of labour vs elective repeat caesarean: a retrospective study with two delivery protocols

This study compared two protocols for TOLA2C in women requesting a vaginal birth, and showed increased rates for TOLA2C and vaginal birth after two caesarean sections (i.e. successful TOLA2C) with a more liberal protocol. Although underpowered to detect rare adverse outcomes, this study suggests that TOLA2C can be a reasonably safe option and should be offered to women.

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Vaginal birth after cesarean: maternal and fetal outcomes in a multicenter study

VBAC success rates in this cohort aligned with contemporary international benchmarks and demonstrated favorable maternal outcomes in appropriately selected patients.

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FIGO good practice recommendations for vaginal birth after cesarean section

In the presence of favorable factors, success rates of VBAC range from 60% to 80%, with a previous vaginal birth (particularly a VBAC) being the single best predictor of success.

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Twin home birth: Outcomes of 100 sets of twins in the care of a single practitioner

A community birth can lead to high rates of vaginal birth and good outcomes for both mothers and babies in properly selected twin pregnancies.

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Evaluating the effect of two different training interventions on improving vaginal twin birth rates and provider confidence and knowledge levels: A pre- and post-intervention study

In settings with a high background cesarean section rate, a rapid increase in the vaginal birth rate of twins is possible without adversely affecting maternal or neonatal outcomes, via either staff-wide training or specialist teams.

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