The Medical Board of California has special regulations for Licensed Midwives attending VBAC:
We're required to have you sign a special Informed Consent for Homebirth VBAC
and read ACOG's Practice Bulletin #115. August, 2010 - Vaginal Birth After Previous Cesarean Delivery
California Code of Regulations Section 1379.19
Article 3.5 Midwifery Practice, 1379.19 Standards of Care for Midwives
(a) For purposes of Section 2507(f) of the code, the appropriate standard of care for licensed midwives it that contained in the “Standard of Care for California Licensed Midwives” (September 15, 2005 edition) (“SCCLM”), which is hereby incorporated by reference.
(b) With respect to the care of a client who has previously had a caesarean section (“C-section”) but who meets the criteria set forth in the SCCLM, the licensed midwife shall provide the client with written informed consent (and document that written consent in the client’s midwifery record) that includes but is not limited to the following:
(1) The current statement by the American College of Obstetrics and Gynecologists regarding it’s recommendations for vaginal birth after caesarean section (“VBAC”) [Click here to read the pdf of this statement.]
(2) A description of the licensed midwife’s level of clinical experience and history with VBACs and any advanced training or education in the clinical management of VBACs.
(3) A list of all educational materials provided to the client.
(4) The client’s agreement to: provide a copy of the dictated operative report regarding the prior C-section; permit increased monitoring; and, upon request of the midwife, transfer the a hospital at any time or if labor does not unfold in a normal manner.
(5) A detailed description of the material risks and benefits of VBAC and elective repeat C-section
NOTE: Authority cited: Sections 2018 and 2507, Business and Professions Code. Reference: Section 2507, Business and Professions Code
“Standard
of
Care
for California Licensed Midwives” (September 15, 2005 edition)
Practice
Bulletin
#115.
August, 2010 - Vaginal Birth After Previous Cesarean Delivery
The Suture Debate by Gretchen Humphries - Does single-layer vs. double-layer make a difference?
The web site of ICAN - the International Cesarean Awareness Network