How does one draw the line between resounding enthusiasm for vaginal birth after cesarean (VBAC) and an accepting attitude towards one’s limitations? Many in the natural childbirth culture advocate a laissez-faire approach toward all VBACs, excepting the typical obstetric interventions of induction, continuous monitoring, and the like. These enthusiasts dismiss virtually any reservation. I have a unique perspective on this topic: My attempted VBAC at The Farm ended in a transport and full uterine rupture.
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