Tag Archives: evidence-based care

In Honor of Cesarean Awareness Month: Introducing The VBAC Education Project

10 Apr

VBAC was deemed a reasonable and safe option to a routine repeat cesarean by the National Institutes of Health decades ago (1981). But, in recent years, misinformation about its safety and lack of clear national practice guidelines have succeeded in virtually eliminating VBACs in many hospitals. Intro.keyThousands of women are being denied medical care for VBAC and given no choice but to “consent” to a repeat operation they do not need or want. Mothers have the legal right to make their own health care decisions, but that right, more often than not, is not upheld. The  upcoming, evidence-based VBAC Education Project, endorsed by the International Childbirth Education Association and the International Cesarean Awareness Network was developed to answer the many questions parents have about VBAC and provide educators and maternity care professionals with the resources they need to support women who want to labor after a prior cesarean. This volunteer collaborative project will be available for download at no cost.

The VBAC Education Project consists of four sections:

  • žDeciding if A VBAC Is Right for You: A Parent’s Guide (slides)
  • žVBAC for Educators: A Teaching Guide
  • ž Resources for VBAC and Physiologic Birth
  • žEducational Handouts for Parents

For Parents

žIf you are a parent whose baby was born by cesarean section, VBAC_HandoutsForParentsthis evidence-based slide presentation (14 modules) provides comprehensive information on vaginal birth after a cesarean (VBAC), a safe option to a routine repeat cesarean. It will also help you to understand why you may have had a cesarean and how you can do things differently this time. The Resources will help expand your knowledge about VBAC and physiologic (normal) birth. The Educational Handouts for Parents will give you the tools you need to make informed decisions and help you to have a safe and satisfying birth.

žFor Educators and Group Leaders

VBAC For Educators: A Teaching Guide is a companion to Deciding if A VBAC Is Right for You. If you teach childbirth classes or lead a support group for women with a prior cesarean the supporting e-book, VBAC for Educators: A Teaching Guide will help you to present the material to your students. It includes background information for each of the 14 modules, sample class outlines, teaching tips, examples of hospital guidelines and informed consent forms for VBAC you can duplicate for your own educational use. VBAC_ForEducatorsFor mothers considering a birth-center or home VBAC the Teaching Guide also explores the relative safety of VBAC outcomes for low-risk women who begin labor on their own compared to outcomes for planned hospital VBACs.

For Maternity Care Professionals

žIf you are a labor and delivery nurse, office nurse, doula, community-based maternal-child health worker or birth activist, this visual guide provides the medical facts you need to understand the VBAC option, the psychological issues related to laboring for a VBAC after an unexpected prior cesarean, and the many ways you can support and empower mothers to make their own best decisions about how they want to give birth this time. The Resources and Educational Handouts for Parents will be useful for you and the mothers and families you work with.

žFor Physicians and Midwives

žIf you are a physician or a midwife, this visual guide can help provide expectant parents with evidence-based information about vaginal birth after a cesarean. It can also help them to clarify some of the issues they are most concerned about.VBAC_Resources Clinicians rarely have the time to provide parents with all the information they may need to make informed decisions for birth after a cesarean. This guide can help begin the prenatal conversations you will have with mothers to help them make an informed choice about how they want to give birth this time.

The VBAC Education Project will soon be available for free download from www.vbac.com and the International Childbirth Education Association. We hope it will help parents to find out more about the VBAC option and encourage maternity care professionals to safely support them.

Updated June 24, 2015.

California Community Foundation Funds a Grant for Hospital Improvements and Nursing Education

19 Feb

The California Community Foundation has awarded a grant to the Association for Wholistic Maternal and Newborn Health of Los Angeles for hospital improvements and nursing education. The Association is taking advantage of this opportunity and has developed a program to educate maternity care nurses in Mother-Baby Friendly Care.

Mother-Baby Friendly Care is evidence-based, high quality maternity care which can improve health outcomes for mothers and babies, reduce costs of maternity care, and help achieve public health objectives for maternal and infant health. Mother-Baby Friendly Care combines the “Ten Steps of the Mother-Friendly Childbirth Initiative for Mother-Friendly Hospitals, Birth Centers and Home Birth Services and the “Ten Steps of the Baby Friendly Hospital Initiative (BFHI) developed by the WHO and UNICEF to promote a breastfeeding supportive hospital environment.

“Heart and Hands The Art and Science of Mother-Baby Friendly Nursing, A Proposal for High Quality Maternity Care,” a training for hospital labor and delivery nurses and nurse-managers will be offered in Los Angeles May 22, 23, 24, 2012. To learn about the health benefits and potential health care cost reductions of Mother-Baby Friendly Nursing, maternity care nurses, nurse managers, and hospital administrators are invited to attend a free Introduction and Information Session to Mother-Baby Friendly Nursing on Thursday, February 23, 2012 from 2:00pm-5:00 pm at the California Endowment Center for Healthy Communities, Sierra 2 Room, 1000 N. Alameda Street, Los Angeles, California, 90012. The Information session will be simultaneously offered as a webinar and will be available for future viewing on the Coalition for Improving Maternity Services website.

The training is co-sponsored by The Association for Wholistic Maternal and Newborn Health in collaboration with the Coalition for Improving Maternity Services, and Educate. Simplify. Creative Resolve Healthcare Training Company.

Representative Lucille Roybal-Allard (CA-34) will be recognized at the event with the Champion for the Mother-Baby Friendly Maternity Care Award for her legislative initiative, the MOMS for the 21st Century Act (HR 2141, 112th Congress) by the project’s collaborating organizations. The Maximizing Optimal Maternity Services for the 21st Century Act  places a national focus on evidence-based maternity care practices to help achieve the best possible maternity outcomes for mothers and babies.

In a press release, Congresswoman Lucille Roybal-Allard stated, “Despite the vast body of knowledge regarding best evidence-based maternity care, current maternity practice does not follow that research. For example, the widespread over-use of maternity procedures including Cesarean sections and scheduled inductions, which credible evidence tells us are beneficial only in limited situations, has resulted in longer maternity hospital stays and multiple costly procedures…sadly, despite our exorbitant expenditures on maternity care, childbirth continues to carry significant risks for mothers and babies, especially in communities of color.”

In its report, The Future of Nursing: Leading Change, Advancing Health, the Institute of Medicine (IOM) concluded that nurses can play a vital role in helping to transform the health care system and can and should play a fundamental role in its transformation. The role, responsibilities and education of nurses will need to change to meet the increasing demand for safe, high-quality, and effective health care services.

Maternity care nurses are on the front lines, and the Mother-Baby Friendly Nursing educational program can serve as an evidence-based guide to assist labor, delivery and neonatal nurses provide safe, high-quality and effective care.

To register for the free February 23rd Introduction and Information session link to http://mother-baby-friendly-nursing-training.eventbrite.com/ .

To register for the free webinar that will be available from 2pm to 5pm that day link to https://www4.gotomeeting.com/register/852801407 .

To find out more about the Mother-Baby Friendly Nursing or to bring the training to your community, please contact Cordelia Hanna-Cheruiyot by phone at 626-388-2191 or Email: cordeliahc@socalbirth.com .

blog post updated, 2/29/2012, 1:20 pm