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Wednesday
Mar142012

An Informal Poll on VBAC Access

 

Question for you: How many people here (and in which country) could not find an OB-GYN who would let them VBAC in the hospital and chose to give birth out-of-hospital instead? (Posted on the VBAC Facebook page)

 

1. Where I live the only vbac supportive dr in all of las Vegas is about 45 minutes away. ONE. In all of southern Nevada.

 

2.  I’m in the UK, I chose to have a home vbac and luckily I found some very supportive nhs midwives and consultants. I did a tonne of research to ensure I was making an informed decisions though.

 

3.  Hba3c here in indiana

 

4.  I wanted a home birth (in NY state) but we couldn’t really afford it since our insurance wouldn’t cover at all. Luckily I had supportive midwives and hospital within 5 min.

 

5. HBAC here in Central Florida.

I should say, I did find a OB that would “let” me VBAC, but it was only under very specific rules (no complications, normal size baby, typical labor pattern, and no past dates)… ended up having a 10 lb baby at home, 15 hr labor, 9 days past due date. This wouldn’t have happened at a hospital.

 

6. West Virginia here. The closest VBAC friendly hospital that took my insurance (state Medicaid) was two hours away. I had a mostly UP and ended up having a VBAC at the VBAC ban hospital after three days of labor.

 

7. I have a vbac yahoo group in Turkey that I founded 5 years ago and also a facebook vbac group. In these groups there are 800 members . But among these members , only 30-40 members could have vbac.The others could not find a vbac friendly doctor or hospital. There are many members that are still looking for a doctor who will support her.

 

8. I have found one here in PA,but i am not loving how many “rules” there are to it! So I am still researching my options! :)

9. I’m pretty blessed, my doc has delivered all 3 of my children, the 3rd was an emergency c-section, that we both tried to avoid until we couldn’t wait any longer. I’m due w/ #4 in June and she informed me, “you’ll be able to have a VBAC no problem! And trust me, I want a VBAC just as much as you do!”. I love my ob/gyn! I’m delivering (again) at Scottsdale Healthcare Shea in Arizona.

 

10. I tried to have VBAC with my second, but the closest doctor was over an hour away and I couldn’t handle the labor all the way there I’m sure. But I couldn’t find anyone to do a home birth either.

 

11.  The next time I decide to get pregnant I’ll be going for my VBA3C, my first was a medically necessary induction (raging case of Pre-e) at 33 weeks that ended in a CS after 36 hours of, most which I was stuck at 4, no VBAC attempt with number 2 (very impatient pro-CS OB), number 3 was my first attempt at a VBAC, went into labor at exactly 41 weeks, 50 hours of labor, including 2 spent pushing, fully dilated, my tiny 7 pound daughter would not descend past 0 station due to being OP, we determined that the reason for her malposition is that my pelvis needs re-aligned, so I’ll be seeing a Chiro. My Peri is amazing and is very pro-VBAC ;-D

 

12.  I am in Anderson Indiana and I couldn’t find anyone until I was 39 weeks with my youngest.

 

13. Me. :)

 

14. In Rome (Italy), it’s so difficult to find a vbac supportive doctor. Most of the OB-GYN don’t want to take this responsibility!! It’s so sad and frustrating.. :(

 

15.  I found a “VBAC friendly doctor” so I thought.. he said I couldn’t go over my due date, have a big baby, attempt vbac if my blood pressure was high or labor in water because it is unsanitary. At 26 weeks I switched to a midwife and we are going to have a waterbirth. :)

 

16. I’m in Maine and couldn’t find one and can’t afford a midwife so I am having an UBA3C any day now

 

17. In Australia they are all for it. As long as there are facilities for an emergency caesarean then you can go for it.

18.  I lived in SE Utah and couldn’t find anyone within 3 hours drive (Moab; Durango, Cortez or Grand Junction, CO; Farmington, NM), so had a lovely homebirth with a fabulous midwife.

 

19. I am an independent midwife in New Zealand, VBAC is offered to women after one c/section but with many conditions and restrictions and not all obs will agree to it, and RANZCOG are not in agreeance with a VBAC after more than one c/sec so this rarely happens, sad really, but women in NZ have free maternity care and 80% of women have a midwife and can choose wht they think is best for them and where they birth is up to them. Unfortunately not all midwives tho are VBAC friendly either.

 

20. I did I was homebirthing as it was my only choice for continuity of care at the time. I was transferred for a second ECS but stand by my decision and the care that i got from my own midwife was out of this world. I am in Australia (Queensland)

 

21. I live in coeur d alene, Idaho USA…and in my city at our local hospital they will not do vbacs, I could have commuted to spokane but wanted a natural birth so I want thru dayspring midwifery and had a 5hr beautiful natural labor.

 

22. Me! I’m in a rural area of the US and the nearest was over 2 hours away.

 

23. My first CNM as part of an OB practice started recommending blood thinners and the hematologist said absolutely not. They had been the most easygoing practice I had found at that point. I just decided that evey practice was gonna red flag me and being a VBAC it was too much stres and fighting drs for what i wanted of a natural vaginal birth so I went with a HBAC which was successful and wonderful Dec 2011.

 

24. i switched to a birthing center and had a midwife deliver. im in the united states

 

25. Me I am in the united states!! I had a HBA3C in May of last year. It was either a repeat section or a home birth no OB would touch me for a vba3c! I chose home birth and I have to add that my man was 11lbs 4ozs my biggest baby yet after I was told for years I would never have a baby over 8lbs!!

 

26. I didn’t want to take the risk of going with an OB and being pressured into another csection. I’m having a HBAC with a midwife in 2 months!

 

27. I drove 2 hrs for office visits and 1.5 hrs to the closest ob and hospital that allowed vbacs.

 

28. Not exactly BUT I did have to fight for my VBAC with 3 different OB-GYN’s. I finally found one that would listen to me and not tell me I was having a c-section. First birth=emerg section under general and the 2nd baby was all natural VBAC

 

29. I had a home birth because VBAC is a dirty word in New Orleans.

 

30. yes !it was a panel of 4 OB-GYN’s, the Commander of the Army hospital,plus three lawyers ,a head nurse of the delivery working for the hospital,two Generals as the surgeons of the hospital…my husband and I fought tooth and nail and we got wht I always wanted vba2c in San Antonio,TX at an Airforce Base…us stationed in Louisiana—Army base…. :D !!

 

 

What was your experience like?

 

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Reader Comments (9)

I missed this FB discussion. I chose to have my 1st unassisted birth because the only hospital in my area had a VBAC ban and no midwife would attend. Just as well...I didn't have insurance anyway and our birth cost a grand total of $27 but still...would be nice to not feel that my choices weren't so limited. I had already had 3 previous successful VBACs so I knew I could do it. To say I must have a c-section even though I'd already done it successfully just seemed ridiculous.

March 14, 2012 | Unregistered CommenterJujuBee

Had three c sections ... was not "permitted" to have a VBAC with either of my latter pregnancies. Two different OBs, two different hospitals, two different *states. One was a major university hospital (one of the top 10 in the country, no less). Still, no dice. The second one I was told that I would have been allowed a VBAC, but a VBA2C was "too risky." I was screwed. I was also told that another pregnancy would kill me, so even had I wanted to try again, I was done ...

March 14, 2012 | Unregistered CommenterAndrea

I have two VBACs under my belt and am trying for my third. I have never had a problem with my OBs or hospitals. Between my VBACs and my new current pregnancy, I have been seen my three different OBs and will have given birth in three different hospitals. I have no issues. In fact, with my second VBAC, I wanted to RCS, but my OB basically refused me. She said it wasn't need.

I never knew there was a problem with getting a VBAC until after my first VBAC. That was when I started reading the stories on the internet.

But, I think my key to success is that I lived in a major cities with all my tries and all my hospitals where teaching hospital with the staff needed to keep the insurance happy.

March 14, 2012 | Unregistered CommenterDenise

I have the only dr. i know about letting me try a VBAC in my town.
in Lenoir, NC.

He does have a few rules including monitoring, size of baby etc. But I am at peace if I had to do another c-section.

March 14, 2012 | Unregistered CommenterDebbie

I am in Nebraska and to have my VBAC, I had to go to a doctor/hospital 3 hours away. But my Doc was very supportive and great! I was planning to stay closer to the hospital the last couple weeks of the pregnancy but ended up going into labor early! We had to pack up in the middle of the night and drive the 3 hours while i was in labor! We made it to the hospital with time to spare and had a wonderful VBAC experience. I will go back to that doctor again next time!

March 14, 2012 | Unregistered CommenterJill

i'm in oregon. i found an ob/gyn about an hour away who will do a vbac. i wanted a midwife, but couldn't find one.

March 14, 2012 | Unregistered Commentersonya

There's basically one truly supportive OB here, and she a) has others in her practice who might be on-call that day who are less supportive and b) still has a few non-evidence based rules. The hospitals around here vary, and there are lots of OBs who won't usually section a crowning vbac mom, so they say they do vbacs, but the stars must align perfectly. I decided to go for an hbac with midwives rather than gamble about which OB and which nurses I got, that is, if I ever got to labor at all. I just want a *real* shot at it. I'm comfortable with my birth team, that they are experienced and that they'll be appropriately conservative about transferring at any real sign of a problem. I'll be having an US at 36 weeks (that's in a little over 2 weeks) to measure the thickness of my scar.

March 17, 2012 | Unregistered CommenterKaren

I should say that the only way it seemed I was going to get the stars to align for a vbac in hospital was to stay home until I was pushing, so I could avoid the hospital and all the problems and fights we anticipated there. So it was easy to go from "planning to labor in a tub at home with a monitrice until i'm nearly ready to push and then getting in a car" to actually transferring care to the midwife and NOT getting in that car at 9 cm.

March 17, 2012 | Unregistered CommenterKaren

My first was a (horrible) vaginal birth, my second was an amazing c-section (baby was sideways). For # 3 my OB told me I was a perfect candidate for a VBAC. Over the course of several appointments she told me she would love to see me do a VBAC, and I said NO WAY. My C-section birth was so, so, so much better than the vaginal. I had a wonderful c-section with my third, and totally could not have asked for a better birth experience.

March 19, 2012 | Unregistered Commenterhappychaos
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