Discussion Paper 1Timothy JenkinsCEP 215New Mexico State University While watching “More Business of Being Born” (Epstein, 2011), I have a lot learned about the different advantages and disadvantages of vaginal delivery. Birth after cesarean section (VBAC). Women are often deprived of the choice of method of delivery of their children after having already given birth by cesarean section. The cause is that there is a medical fear regarding rupture of the uterus which often results in the death of both mother and baby (Epstein, 2011). In the mid-20th century, it became common to say that “once a cesarean, always a cesarean.” This saying perpetuates the fear and understanding that women must undergo another cesarean section, thereby depriving them of choice (Epstein, 2011). However, there are few medical reasons why VBACs should be disapproved. Research cited by Epstein (2011) states that “1 in 2000 people.” Currently, it is almost impossible to have a VBAC, and women who seek this option should be informed of the risks and ultimately given a choice about how to give birth. As we saw in the film, a good support network can help mothers undergoing VBAC overcome mental obstacles and can be very empowering for the woman (Epstein, 2011). This film ties in with what we discussed in class. involving prenatal care. Women considering VBAC should be well informed about the prenatal care around them to enable them to make informed decisions. Good prenatal care also influences the child's development after birth. For example, a malnourished mother will typically cause developmental complications in the child because the child was not well nourished in the womb when critical body systems were developing. Children like this may have difficulty during Piaget's sensorimotor stage.