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
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.
CE: 1CE
Course muct be completed before 12/19/2025