Skip to main content

Preventing the Second (or third) Cesarean: Strategies for Identifying and Encouraging Women Who are Good Candidates for Labor after Cesarean (LAC)

Course Description
Current counseling on labor after cesarean (LAC) focuses heavily on the risks of uterine rupture to the neonate while often downplaying the risks of repeat cesarean to the mother. Interest in vaginal birth after cesarean (VBAC) is growing, but pregnant people who want LAC still face significant barriers in the United States. This interactive webinar uses challenging case studies to review the risks and benefits of both LAC and ERCD using the most current evidence available, with the goal of equipping midwives to better advocate for patients who desire LAC.

Learning Objectives
At the end of this session, the participant will be able to

1. Consider why prevention of repeat cesarean is a worthy goal
2. Discuss risks and benefits of labor after cesarean (LAC) vs elective repeat cesarean delivery (ERCD)
3. Discuss barriers to labor after cesarean (LAC) in the United States
4. Review challenging labor after cesarean (LAC) case studies

Ann Ledbetter, CNM

Speaker Bio
Ann Ledbetter is a certified nurse-midwife (CNM) providing full-scope midwifery care at Sixteenth Street Community Health Centers in Milwaukee, WI, and a member of Wisconsin's Maternal Mortality Review Team. She is passionate about giving choices in childbirth, including VBAC, and access to midwifery models of care. She has published articles in the Journal of Midwifery and Women's Health, Stat News, and the Scientific American.


Course muct be completed before 12/19/2025