C. Andrews Midwifery

05/20/2026

Hilarious!

05/13/2026

Interesting comparison of epidural and water immersion. NB groups were self-selected, which may have influenced results. "Spontaneous vaginal birth was almost 17 times more likely in the water immersion group [94.5% vs 50.6%] (OR = 16.866 [6.540, 43.480], p < 0.001), whereas the odds of having a cesarean birth were almost 40 times higher in the epidural group [0.7 vs 21.9%] (OR = 39.346 [3.610, 429.120], p < 0.001). The odds of having an intact perineum were more than two times higher for the water immersion group (OR = 2.606 [1.290, 5.250], p = 0.007), whereas having an episiotomy was more than eight times more likely for the epidural group [4.1 vs 26.1%] (OR = 8.307 [2.800, 24.610], p < 0.001). Newborns in the water immersion group showed a better 5 min Apgar score and umbilical cord arterial pH and lower rates in admissions at the Neonatal Intensive Care Unit. Conclusions: Women choosing water immersion as an analgesic method were no more likely to experience adverse outcomes and presented better results than women choosing epidural analgesia." Full paper here https://www.mdpi.com/2227-9032/12/19/1919

05/10/2026

I mean yeah...s$%t happens, but not nearly as much as your provider wants to scare you about it.

04/25/2026

Please don't be timing contractions that are more then 10 minutes apart. GO TO SLEEP!!! Missing that first night of sleep when you think labor is starting is so detrimental to getting the job done

04/16/2026

Home birth is as safer IF NOT SAFER than hospital birth. End of story. And NO you would not have DIED if you gave birth at home. WHY? Because your midwife is a pro at spotting small issues before they turn into deadly issues and will quickly and efficiently transfer you to higher up care. That's why.

03/18/2026

What is the risk of uterine rupture during a labor after two cesareans?

So often, we hear the risk is 0.9 - 1.8%. But that doesn't tell the whole picture.

The truth is, those numbers are based on studies in which 49 - 65% of labors were induced or augmented.

As we know, induction and augmentation has been associated with increased uterine rupture rates.

So it's quite likely that the risk of uterine rupture during a non-induced or augmented labor after two cesareans may be significantly lower.

This is why it's so important to understand what the research says.

Sometimes vital pieces of information are lost as statistics are simplified and shared.

What have you heard about VBA2C?

We summarize the available evidence on VBA2C here: https://vbacfacts.com/vba2c

If you are a perinatal professional who wants to provide the best VBAC information and support, we offer a continuing education training on VBA2C (approved for 2.4 contact hours) so you can easily integrate the evidence into your practice as well a VBA2C handout for birthing families so you can quickly communicate the facts to your clients.

These are just two of the benefits of joining VBAC Facts® professional membership.

Register today: https://vbacfacts.com/membership

11/23/2025