MidwiferyBoardsOverTea

To connect with Ginger Breedlove or learn more about Grow Midwives, visit their website at growmidwives.com.

Season 1: Episode 1

VBAC/TOLAC

This podcast was created for our listeners to access easy, understandable education so that they are able to make well-informed decisions when preparing for their birth. Today we will be discussing the topic of vaginal birth after a cesarean section, also known as “VBAC”. Our goal in this discussion is to answer common questions surrounding the topic, discuss the most up to date evidence based research, and debunk common myths you may have heard on the street.

References:

●American College of Obstetricians and Gynecologists [ACOG]. (2019). Medicaid Reimbursement for Postpartum LARC. Retrieved from https://www.acog.org/programs/long-acting-reversible-contraception-larc/activities-initiatives/medicaid-reimbursement-for-postpartum-larc

●American College of Obstetricians and Gynecologists, & Committee on Obstetric Practice. (2016). Committee opinion No. 670: immediate postpartum long-acting reversible contraception. Obstetrics and gynecology, 128(2), e32.

●Association of Women’s Health, Obstetric and Neonatal Nurses. (2009). AWHONN position statement: Insurance coverage for contraceptives. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 38(6), 743–744. http://dx.doi.org/10.1111/j.1552-6909. 2009.01079.x (Revised 2016)

●Chen, B. A., Reeves, M. F., Hayes, J. L., Hohmann, H. L., Perriera, L. K., & Creinin, M. D. (2010). Postplacental or delayed insertion of the levonorgestrel intrauterine device after vaginal delivery: a randomized controlled trial. Obstetrics and gynecology, 116(5), 1079.

●Grimes, D. A., Lopez, L. M., Schulz, K. F., Van Vliet, H. A., & Stanwood, N. L. (2010). Immediate post‐partum insertion of intrauterine devices. Cochrane Database of Systematic Reviews, (5).

●Tocce, K., Sheeder, J., Python, J., & Teal, S. B. (2012). Long acting reversible contraception in postpartum adolescents: early initiation of etonogestrel implant is superior to IUDs in the outpatient setting. Journal of pediatric and adolescent gynecology, 25(1), 59-63.

●Whitaker, A. K., & Chen, B. A. (2018). Society of Family Planning Guidelines: Postplacental insertion of intrauterine devices. Contraception, 97(1), 2-13.

Hani M. presents this episode on useful Spanish vocabulary and phrases for the intrapartum setting. This is part one in the Birth Spanish episode series.

Birth Spanish "Cheat Sheet": https://drive.google.com/file/d/1IQeCT835qARFnH8xnXt1bPkad3D0F9mg/view?usp=sharing

A few words of wisdom/caution:

● Utilize interpreters and qualified bilingual providers when possible. If you misinterpret it is YOUR license on the line.

● Use “usted” in general when addressing patients and families (Tu is informal. Usted is more professional and respectful)... the exception is that I use TU conjugations when I feel I have developed a sense of rapport and am speaking words of encouragement.

● Introducing yourself in Spanish is ALWAYS a good idea – it builds rapport and shows your humanness and vulnerability, especially if it isn’t perfect. Just make sure to clarify that you don’t speak fluently and that you would be happy to bring someone in who does.

● Google translate has an awesome feature where you can scan text and it translates to the target language (not always 100% accurate) - https://learningenglish.voanews.com/a/eight-things-you-didnt-know-google-translate-could-do/4097446.html

*la/le = feminine/masculine variations

Algorithms and Fact Sheets:

CDC HIV Testing Algorithm: https://www.cdc.gov/hiv/pdf/guidelines_testing_recommendedLabTestingAlgorithm.pdf

CDC Hep B Fact Sheet: https://www.cdc.gov/hepatitis/hbv/pdfs/serologicchartv8.pdf

Other Resources:

Centers for Disease Control and Prevention. (2014). Guidelines for vaccinating pregnant women. Advisory Committee on Immunization Practices (ACIP) Available at: http://www. cdc. gov/vaccines/pubs/downloads/b_preg_guide. pdf. Accessed, March 7 2020.

Cunningham, F., Leveno, K., Bloom, S., Spong, C. Y., & Dashe, J. (2014). Williams obstetrics, 24e. Mcgraw-hill.

Terrault, N. A., Lok, A. S., McMahon, B. J., Chang, K. M., Hwang, J. P., Jonas, M. M., ... & Wong, J. B. (2018). Update on prevention, diagnosis, and treatment of chronic hepatitis B: AASLD 2018 hepatitis B guidance. Hepatology, 67(4), 1560-1599.

USPSTF A and B Recommendations. (n.d.). Retrieved from https://www.uspreventiveservicestaskforce.org/Page/Name/uspstf-a-and-b-recommendations/