In today’s episode, Cynthia and Trisha are joined once again by Nancy Wainer, award-winning author, longtime home birth midwife, and the woman who coined the term VBAC in her 1980s book Silent Knife. With decades of experience supporting women through vaginal birth after cesarean, Nancy brings clarity to a conversation that is shaped by fear, false information, and shifting medical standards.

This episode is part free-flowing conversation and part Q&A, where we take listener questions and explore them in depth. We cover topics including delayed postpartum hemorrhage after cesarean, uterine rupture, scar thickness, “uterine windows,” closely-spaced pregnancies, doulas in a home birth setting, and VBAC with twins or breech babies. We also look at the common reasons women are given for repeat C-sections and where those claims hold up and where they don’t.

We wrap with Quickies and a personal question Nancy's never been asked.

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