VBAC

choosing a hospital - high vbac rate yet inconvenient location?

luckily there seems to be a fair amount of hospital choices with decent vbac rates including where I delivered my first (only), however there are 2 hospitals that rank significantly higher so I am debating on either A) sticking with my previous hospital which has decent vbac rates or B) going to the highest rated vbac hospital even though it's location and the prenatal appt locations would be rather inconvenient for me to get to though not terribly. thoughts?? thanks! 
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Re: choosing a hospital - high vbac rate yet inconvenient location?

  • If the time it takes to get to & from prenatal appointments wouldn't eat into the leave I have saved up for maternity leave, then I'd go for the highest ranked VBAC provider I can find. 

    For my first labor, I was so worried about precipitous labor (b/c of my mom's experience, I thought it ran in the family) but then ended up with a 30 hour experience. Now, a precipitous labor is like #57 on my list of concerns worth preparing for, whereas VBAC success is #2. (Healthy baby & healthy mom are obviously #1)

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  • I personally wanted a hospital that was close by.  Ater dd, I was afraid of precipitous labor, I was about 6 cm dilated with no labor when we discovered she was breech, so I had my csection.  And fortunately my provider is vbac supportive and close by.  Now, I have some very serious issues with the hospital I delivered at, so I would consider changing hospitals, but once I started to have progress with pitocin with DS, he was born within an hour, so I guess I made the right decision.

    I would care more about individual providers vbac supportiveness than the hospital personally.   The local hospital may have a very vbac friendly doctor.    

     

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    imageholly321:

    I would care more about individual providers vbac supportiveness than the hospital personally.   The local hospital may have a very vbac friendly doctor.    

    Ditto this.  While hospital policies may influence VBAC rates some, it's the providers that really call the shots.  I'd find a truly VBAC supportive provider and then go from there.

    2004-Started TTC; Nov 2007-Lap with endo removed; Jan 2008-Ectopic (mtx); April 2008-IVF #1 (bfp, twin girls); March 2011-FET (cp); June 2012-IVF #2 (bfp, singleton, EDD 3-19-12)

    ***Twin fraternal girls born at 35w6d in 12/2008***

  • I could have gone to a hospital that is about 20 minutes away or 40 minutes. I choose the farther one because it has better rates and a longer track record.

    The great part is I see a midwife but if I have to switch to an OB for my GD they are just as supportive as the midwives for VBACs.

    I say you have to do what you are more comfortable with.
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  • I would look into the hospitals VBAC policies first before deciding.  I was considering changing, then I discoved that the one I was going to was the only one where I would be able to walk about during my labor.  To me that is a deal breaker.  I
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