VT/NH VBAC Project Mission
Our goal was to increase the availability and safety of VBAC for patients and providers across NH and VT. Due to the lack of clear national standards, negative press coverage, and excessive medical malpractice awards, the choice of VBAC has been taken away from many women and their physicians. In 2003, we polled providers in NH and VT, and found that 98% wanted to offer VBAC as an option to their patients. It is our strong belief that the decision to have a VBAC is very personal. Only a woman and her family, with input from her obstetric provider, can make this choice.
In addition, we feel that VBAC can be safely performed in community hospitals without excessive use of resources when patients are stratified by their risk. Low risk VBAC candidates are at the same risk for an adverse obstetric event as a pregnant person undergoing their first labor. This does not require extensive modifications of routine care processes. Following TJC guidelines for the provision of obstetrical care is adequate. Please refer to the VBAC Guidelines below which were again revised in 2024 with additional input and contribution from our Maine members.
VBAC Guidelines: 2024 FINAL VBAC Guideline Revision