1st Trimester

Hospital Doesn't Allow VBACs????

I just found out the only hospital in town that is in-network for my insurance doesn't allow VBACs.  I was on the fence about it anyway so I guess it has been decided for me, but is this normal?  Are they that risky? 

Re: Hospital Doesn't Allow VBACs????

  • sadly there are quite a few hospitals that will not do them esp if its a smaller hospital.
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  • I would contact a local ICAN group since they will know the ins and outs of VBACs in your state. 

    ICAN of Charleston
    Charleston

    Contact: Louise Monteith
    eMail Address: clmonteith@comcast.net
    Telephone:  (843) 814-7782  (843) 814-7782
    Website: health.groups.yahoo.com/group/ICANcharleston/

    Or Contact:    
    Telephone:  


    SC

    ICAN of the Upstate
    Greenville

    Contact: Jenn Anderson
    eMail Address: jenn@bluebutterflydesigns.com
    Telephone:  864-633-8498  864-633-8498
    Website: https://icanupstate.wordpress.com/

    DS born via c/s 11/08 and med-free GD VBAC DD 3/11! Baby Birthday Ticker Ticker Baby Birthday Ticker Ticker
  • Read this article, print it and bring it to your doctor. It's the ACOG's latest guidelines on vbac. Have a discussion about what you need to do to plan for a vbac.

    https://www.acog.org/from_home/publications/press_releases/nr07-21-10-1.cfm

    Also, contact your local ICAN (International Cesarean Awareness Network) and see what information you can get on the hospitals in your area. Hospitals are not supposed to ban vbacs but some are able to get away with them. You can always refuse a c/s and they are not supposed to try to force you into one. If it's a federally funded hospital, they cannot turn you away in labor for refusing a c/s.
  • They can be risky b/c the incision from your c-section can cause issues and doctors are more concerned with liability than the patients really.  They can be done, I know people who have had successful VBACs, but it seems as though very few doctors will preform them. 
    G

    Baby Birthday Ticker Ticker
    Baby Birthday Ticker Ticker
  • My Dr. said that most younger Drs have never done one.  I figure that since I already have the scar I may as well have another c-section baby.  It was so much easier than the labor stories I hear about!
  • They're not that risky.  Usually it's a political thing or a small time that doesn't have an anesthesiologist on call.

    It sucks that the decision is being made for you. 

  • There is a small risk associated with TOLAC (trial of labor after c/s).  After one c/s your risk of rupturing at the site of the incision is incredibly small.  C/S may seem easier than labor but they are so much harder on your body.  Where I work we encourage people to TOLAC and have many successful VBAC stories.

    Also, a coworker of mine had a 4th degree (worst you can get) tear with her first vaginal delivery.  She was offered a c/s with her second, and she chose to have it.  She said she would choose a vaginal delivery any day.  Now she is pregnant with her 3rd and is going to TOLAC. 

    It is a personal decision, and it's sad that your institution is choosing for you.  Even if you want a repeat c/s, it should be because you choose it and not just because your hospital doesn't allow TOLACs. Good luck!

  • They're not that risky.  There's a 1% chance of uterine rupture, but they can monitor you to help avoid this.  There are a lot of hospitals in my area (Twin Cities) that don't do VBAC's.  There are also many that do.  The hospital I had DS at does them and is very supportive of them.  I still get to see my midwife most of my pregnancy, but I have to see an OB a couple of times. 
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  • I see you are in SC also if you are Charleston what hospital are you talking about? I was told that MUSC does vbac per my Dr there. I am not sure what your insurance is to know what you might need to go there. I am going to try for a vbac I think and my Dr at MUSC said she will do it no problem.
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  • I just have to add for those that didn't get a chance read the link. The ACOG wants fewer c/s and a "more reasonable VBAC rate." And like pp said, the uterine rupture rate is less than 1%. I have also heard others compare the uterine rupture risk for a vbac-ing mom to the risk of a first time mother as being similar.
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