VBAC

Stay w/ dr. or switch?

I am currently seeing a doctor that is local and I've briefly discussed that I'd definitely like to try for a VBAC. She touched on the 1% risk and also said that since I had a normal incision and only reason why I ended up having a c/s (attempted a vaginal with twins but B repositioned and former dr. felt it was best to convert to a c/s), I should probably be able to attempt a VBAC.

Here's my situation--I'm moving next month about 30 miles from her practice and I currently have an appt. with a new OB that is more local but my current dr. doesn't think that the hospital where this new dr. delivers is for VBACS--but she' s not sure. I plan on going to the new dr. just to get her perspective, but in the event that she doesn't do VBACS, would you stay with the old dr. and do the commute? Or, would you keep trying to find other area drs. that might be able to attempt a VBAC?

I just don't want to switch drs more than once this pg. I'm still early enough along but would prefer that this next switch--if I even switch--be the dr. that I stay with through delivery.

Any feedback welcomed! How did you find a dr. that allows VBAC? Is there a website or resource that you found or did you simply just talk to your dr. at your visit?

TIA

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Re: Stay w/ dr. or switch?

  • I found my doctor by searching for my city and VBAC on Google.  I found posts about him on local message boards and the Finding Your Tribe section on Mothering.com.  My OB's name came up a lot and everything I found was very positive.  So then I set up a meet and greet with him and we had a long chat about VBAC, what I wanted, etc.  I also met with a local midwife group that does VBACs and asked them a lot of questions too.  I ended up feeling better about the OB so I stuck with him.

    I think it's worth commuting 30 miles for a doctor that you really like and trust.  But if you want to look around and see what is closer to you, that's a good idea too.  You might be able to set up meet and greets with any new practices and then you don't have to formally "switch" to see if they would be a good fit for you.

    GL! 

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  • I actually end up choosing a practice that was supportive of VBAC's. I did a search in my area for VBAC hospital success rates and an entire list of every hospital in my city came up showing their vaginal rates, vbac, and c section rates on a website I cant recall the site. The hospital I am at had the highest VBAC and vaginal rates very low c section rates compared to the other hospitals in my state. The practice I go to delivers at this hospital and I am seeing a midwife and they are all supportive. How long is the commute time wise an 1 hr or longer? because my hospital is 13 miles from me and that's an hr drive in traffic through the city no traffic a little less.

     I wouldnt have stayed with them if it would have been any longer for me to commute because of the risks of not knowing how quick baby will come and also my midwife said I shouldnt labor long at home like I did last time because they need to monitor me because of the risk of uterine rupture. So as soon as those contractions start they want me to come in. So there are things you need to consider. I would still check out other options in the area to see if you like them, if they are suportive, and etc. If not then you always have the current practice you like and just stick with them. GL

  • I'm not even pg yet, but let me just say this. Where I lived while pg with DD, there weren't ANY doctors within 30 miles. The doctor I had because of insurance was at a hospital I hated. I was unhappy about the situation the entire pregnancy. And then of course, c/s. I now live in the same zip code as my previous OB, but would NEVER use that hospital again even if they allowed VBACs. I will be going to a hospital/OB over an hour away just to get my chance. So to me 30 miles isn't that big of a deal to me. But then again I don't have much of a choice. I just mean to say that if you like them, 30 miles isn't bad.
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  • I would meet with the new doctor and see how it goes.  Check the hospital's C/S rates.  All the normal research.

    I don't know where you are in Texas, but does 30 miles mean 30 minutes?  If so, I think that's totally reasonable.  If you were by me 30 miles could mean over an hour.  That might be a long way to go if you are trying to work and go to weekly appts.

     

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