myths vs facts: home VBAC

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Free Pictures |“The well-known Landon (10) and Bujold (11) studies, which failed to control for induction of labor and may have had selection bias, also both showed a connection between induction and uterine rupture risk.

When I spoke with Dr. Landon at the 2007 ICAN conference he freely admitted this connection and had even addressed it in a further study on VBAC after multiple cesareans, which was published in 2006.(12) In an e-mail communication, Dr. Bujold also agreed that induction of labor was found to increase the uterine rupture rate.(13) My conclusion: Avoid induction and you remove a major part of the risk.”

Which is what I have found in my rupture support group. Nearly all of them were induced and almost all of them, of course, were in hospitals when they ruptured.

” In women with lower transverse uterine incisions who are not induced, the chances of uterine rupture range from 0.2% to 0.5%… The Lieberman birth center study of VBAC (2004) showed that the combined uterine rupture and fetal/neonatal death rate among women with a single previous c-section and who were less than 42 weeks was 0.2%.(16) That study also found that “half the uterine ruptures and 57% of perinatal deaths involved the 10% of women who had had more than one previous cesarean delivery and no previous vaginal births, or who had reached a gestational age of 42 weeks+.”(17)”

This proves how extremely important it is that the VBAC studies specify wither the mother was induced and what induction methods were used. If nearly all of the ruptures are because of induction and the remainder from VBAMC, it’s a terrible shame that these facts affect the ability of a woman to have a vaginal delivery after one cesarean, particularly with a prior vaginal birth, who has not been induced. Her chances of rupture are almost nothing, perhaps even less then the chance of a non scarred uterus of rupturing during a typical induction. Yet, women are induced all the time and women who desire a VBAC are turned away by the very same doctors.

And in the end, a possible 1% rupture rate of a VBAMC with no induction is still the same stat as many other birth risks, such as placental abruption which almost always causes fetal demise.

My beautiful dream

Posted by: Sarah Trost in childbirth No Comments »

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I had such a beautiful dream the other night. I was in a home I was
unfamiliar with and with people I don’t actually know. There was a very
pregnant mother and her little girl and her husband and father. Someone
was there with me though I can’t remember who she was. The family were
in a bedroom and I was preparing a snack for them. The woman with me
was concerned that the father was in the room and suggested I tell him
to leave. So I went into the bedroom and saw him kneeling next to the
beautiful laboring woman with perspiration on her forehead as she lay in
a bed with her husband by her side. I told her father that I left
something in the kitchen and asked him to get it for me. When he left I
asked her if she wanted her father to stay out of the bedroom and tears
filled her eyes.

She said that it so blessed her that he remained knelt at her bedside
praying for her and the baby while she labored and that she definitely
wanted him to stay! When he returned I told them I would be in the
living room, holler if they need me. I explained to my (assistant?)
that he was offering emotional and spiritual support to his daughter
which was worth all the hympnobirthing and epidurals in the world and to
leave them alone.

Later it sounded like the baby was coming so I went and stood at the
door listening and waiting. The little girl made some exclamations. A
little while later I heard the baby! Still, I waited until I was
wanted. The baby’s father opened the door and put in my arms a precious
baby bundled up in a blanket, so fresh and new and wet. She looked at
me with wide, dark eyes. It was a wonderful moment, and I woke.

Jesus Our Passover by David Benjamin (republished)

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The Passover Seder (the word “Seder” means “order”) is a celebration ordained by God to remember the deliverance of the Hebrew nation from slavery in Egypt. However, for a Messianic Jew like me, that is, a Jew who follows Jesus, this celebration takes on another meaning as well. For on this day we celebrate that not only did the Hebrews of old escape death but so do we.

Passover takes place on the 14th day of the first month of the Jewish calendar which is called Nissan, usually coming around the end of March or the beginning of April.

If you are new to the Jewish understanding of Christianity, you probably do not know that all Jewish Holy Days, like Passover, are also prophetic. This one in particular bears a prophesy that has been in effect for the entire history of mankind; a Savior will rescue us from the curse of death brought on by sin.

Passover is the story of the spotless (signifying sinless) lamb slain to save all those who place its blood on the doorposts and lintels of their houses. The whole meaning of the celebration is summed up in its name. Passover, literally means “pass over” and so it is “the celebration of the passing over”. The enslaved Israelites in Egypt were told to swipe the blood of a lamb over and to the side posts of their door way. That way, the angel of death would “pass over” that house. The prophesy given by Passover is this: The saving of man from the judgment of God via the blood of a perfect sacrifice.

The fulfillment of this prophecy begins as Jesus enters Jerusalem to the praise of the people. At this time, during the traditional celebration of Passover, a spotless lamb would be brought into the temple and would have been inspected for blemishes for the next four days. Similarly, for the next four days Jesus is tested by the Pharisees and still none can find him at fault. He is spotless.

On the eve of Passover Jesus and the disciples celebrate the Holy Day just like any other law abiding Jews. Near the end of the Seder meal Jesus institutes the Communion declaring of the matzo and wine, “Do this in Remembrance of Me.”

That night Jesus is taken by the Pharisees. He endures torture, beatings, illegal Jewish trials and a Roman sentence before being led to Calvary. It is the ninth hour of the morning when Jesus is nailed to the cross. At this exact time in the traditional Passover celebration the spotless lamb is sacrificed in the temple. Not a bone of the lamb was to be broken, and none were, in either Jesus or the lamb. The prophecy is complete.

It is no mystery that John the Baptist said of Jesus, “Behold, the Lamb of God, that taketh away the sin of the world.” Jesus was and is forever the Spotless Passover Lamb of God. This year, even if you are not from a Jewish background, I encourage you to search out a Messianic Seder. Your relationship with the Lord will be deepened as you relive the Lord’s last supper and understand the long history and fulfilled prophecy behind the sacrifice of the Lamb.