Yes, This (from the NIH VBAC Conference)
From the draft Panel Statement:
We are concerned about the barriers that women face in accessing clinicians and facilities that are able and willing to offer TOL [trial of labor]. Given the level of evidence for the requirement for “immediately available” surgical and anesthesia personnel in current guidelines, we recommend that the American College of Obstetricians and Gynecologists and the American Society of Anesthesiologists reassess this requirement relative to other obstetrical complications of comparable risk, risk stratification, and in light of limited physician and nursing resources. Healthcare organizations, physicians, and other clinicians should consider making public their TOL policy and VBAC rates, as well as their plans for responding to obstetric emergencies. We recommend that hospitals, maternity care providers, healthcare and professional liability insurers, consumers, and policymakers collaborate on the development of integrated services that could mitigate or even eliminate current barriers to TOL.
I know, the language itself doesn’t sound that exciting, but there is a lot of hope that it will have an effect in encouraging hospitals and providers with official VBAC bans and unofficial anti-VBAC stances to reconsider.
If you’re like me and had other work and life things in the way of catching the whole conference, video from days 1 and 2 and other materials are available from http://consensus.nih.gov/2010/vbac.htm. You can also poke through eleventy-billion tweets on the topic by searching for the hashtag #nihvbac. I’ll try to include some good blog posts on the topic in next Sunday’s round-up, as well.
I’m reserving judgment on the “women don’t have a settled right to refuse surgery” business until I actually get a chance to hear what was said in the day 3 video (which is not yet available) and telebriefing for myself, but Courtroom Mama has written about it for The Unnecesaran. Suffice it to say that I believe a woman has an absolute right to refuse any surgery, any time, for any reason – pregnant or not.