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May 2014 Moms
IBackBevo
member
May 2014 January Siggy Challenge:
Just found out my hospital has a 47.5% C-section rate and only a 3.6% success rates for VBACs
IBackBevo
member
My OB delivers at the Women's Hospital of Texas which basically handles about 10,000 or so births a year. I just read where their c-section rate was about 47.5%. I am wanting to go for a VBAC and I feel like this is a bit of a warning sign that they aren't going to be supportive. I also think that because of my experience having DS1 there. This rate is probably slightly increased because I know alot of high risk patients are sent there, but that still seems high. To me, a rate this high seems like it is more of an indication that the hospital is being overly cautious or is c-section happy. Any thoughts? Does this rate seem high to you?
As an aside, I very much felt this way with DS1 who I had at that hospital. When he started having heart rate decels, the L&D nurse made the call that I could not be induced and I never even got the chance to try labor. I asked for an ultrasound and she said it would not tell us anything...which I find strange because when I had been in that hospital on ante partum, DS has had heart rate decels and they did an ultrasound and determined everything was fine. I feel like the nurse just didn't want to mess with me.
I also didn't really care for my post-partum care. The only time I felt like I got excellent care was when I was in ante-partum with pre-e. I also have heard that a lot of the really good nurses who used to work at Texas Women's have gone to Texas Children's Women's Pavilion because they pay more.
Would this make you want to look for a new OB who delivers somewhere else? I really would like to stay with my current OB, but I have to admit that I am not looking forward to using this hospital again. My overall experience there with DS1 was mediocre at best.
Edit: I also just found out that they require 1 hour of monitoring of the baby after birth in the nursery. WTF?!?!!! And if my experience with DS is any indication, that 1 hour may turn into a lot more. \
EDIT2: I just found the vbac rate - an abysmal 3.6%! Ben Taub, another hospital in the area, has a vbac rate of 25.58%! LBJ, which is a hospital my DH has worked at before, has the best rate at almost 30%. (I would not deliver there, though, because I think it may be military...) The 3.6% is well below what the state average is...well below.
As an aside, I very much felt this way with DS1 who I had at that hospital. When he started having heart rate decels, the L&D nurse made the call that I could not be induced and I never even got the chance to try labor. I asked for an ultrasound and she said it would not tell us anything...which I find strange because when I had been in that hospital on ante partum, DS has had heart rate decels and they did an ultrasound and determined everything was fine. I feel like the nurse just didn't want to mess with me.
I also didn't really care for my post-partum care. The only time I felt like I got excellent care was when I was in ante-partum with pre-e. I also have heard that a lot of the really good nurses who used to work at Texas Women's have gone to Texas Children's Women's Pavilion because they pay more.
Would this make you want to look for a new OB who delivers somewhere else? I really would like to stay with my current OB, but I have to admit that I am not looking forward to using this hospital again. My overall experience there with DS1 was mediocre at best.
Edit: I also just found out that they require 1 hour of monitoring of the baby after birth in the nursery. WTF?!?!!! And if my experience with DS is any indication, that 1 hour may turn into a lot more. \
EDIT2: I just found the vbac rate - an abysmal 3.6%! Ben Taub, another hospital in the area, has a vbac rate of 25.58%! LBJ, which is a hospital my DH has worked at before, has the best rate at almost 30%. (I would not deliver there, though, because I think it may be military...) The 3.6% is well below what the state average is...well below.
IF DX: DOR & Fragile X pre-mutation carrier
2011: FSH 13.3 & E 99; AMH 0.54 2nd FSH 6.2 E 40's AFC: 8
BFP from Clomid/IUI ~ Pre-e and IUGR during pregnancy ~ DS born 9/4/12
Feb./March 2013: AMH less than 0.16 (undectable) and AFC = 4;
BFP from supps ~ DS#2 due May 2014
2011: FSH 13.3 & E 99; AMH 0.54 2nd FSH 6.2 E 40's AFC: 8
BFP from Clomid/IUI ~ Pre-e and IUGR during pregnancy ~ DS born 9/4/12
Feb./March 2013: AMH less than 0.16 (undectable) and AFC = 4;
BFP from supps ~ DS#2 due May 2014
May 2014 January Siggy Challenge:
This discussion has been closed.
Re: Just found out my hospital has a 47.5% C-section rate and only a 3.6% success rates for VBACs
So to answer your question, yes, I would look elsewhere.
2011: FSH 13.3 & E 99; AMH 0.54 2nd FSH 6.2 E 40's AFC: 8
BFP from Clomid/IUI ~ Pre-e and IUGR during pregnancy ~ DS born 9/4/12
Feb./March 2013: AMH less than 0.16 (undectable) and AFC = 4;
BFP from supps ~ DS#2 due May 2014
May 2014 January Siggy Challenge:
I am not currently high risk (not even seeing an MFM), but was with DS due to pre-e. My BP is staying down with this pregnancy and I have no other signs of pre-e so I have no reason at this point to think I will be.
I am about 90 percent committed to a vbac. I am still a little up in the air on whether to vbac or have a rcs just due to the convenience of a planned rcs, but if I do try for a vbac (and hire a doula, etc.) then I want the best shot possible at it.
The main advantage for a RCS for me is that I can more likely guarantee that my DH will have time off around the birth if I go the RCS route. He is a physician and has to plan his time off months in advance. Since I had DS early, he was back to work the first day I was home from the hospital. Recovering from bedrest, pre-e and a c-section while trying to pump and with a 4.75 pound baby who wouldn't latch and had to be fed every 2 hours due to weight issues was horrible. And this time I will also have a 20 month old. But that is the only real advantage for having a RCS and still not guaranteed if I have to deliver before 39 weeks.
2011: FSH 13.3 & E 99; AMH 0.54 2nd FSH 6.2 E 40's AFC: 8
BFP from Clomid/IUI ~ Pre-e and IUGR during pregnancy ~ DS born 9/4/12
Feb./March 2013: AMH less than 0.16 (undectable) and AFC = 4;
BFP from supps ~ DS#2 due May 2014
May 2014 January Siggy Challenge:
That being said when in L&D with Beb she was having a little trouble working her way out my narrow hips. Which worried the L&D nurse who used the term Cesarian over and over. Since I was induced by my OB she was well aware of my wishes to deliver vaginally and told the nurse to cool her jets, she would keep monitoring the progress and we would only do a c/s if it was absolutely necessary. I am super thankful to her for that, if it had gone another way I would probably be OB shopping. GL!
DS: 11/8/11 | 9 lb 7 oz, 22 in
DD: 5/22/14 | 9 lb 9 oz, 21.5 in
And you are correct. If it were not for my OB, I would not be staying at this hospital. The main reason I want to stay with my OB, though, is that she is pretty good about letting me have my way. She is really, really nice and she knows I do my research and have a good gut instinct on things. Every problem I had in my first pregnancy was the result of someone else (the on call doctor at the hospital, another doctor in the practice, a stupid nurse in L&D, etc.). And she truly listened to me. Also, if I do end up with a RCS, she is an excellent surgeon...I know this because she did my first. I am very hesitant to switch because just in terms of the doctor, I doubt I will find a better one. I just wish every other person in her practice and at this hospital was to her level.
2011: FSH 13.3 & E 99; AMH 0.54 2nd FSH 6.2 E 40's AFC: 8
BFP from Clomid/IUI ~ Pre-e and IUGR during pregnancy ~ DS born 9/4/12
Feb./March 2013: AMH less than 0.16 (undectable) and AFC = 4;
BFP from supps ~ DS#2 due May 2014
May 2014 January Siggy Challenge:
Ben Taub, another hospital in the area, has a rate of 25.58%!
2011: FSH 13.3 & E 99; AMH 0.54 2nd FSH 6.2 E 40's AFC: 8
BFP from Clomid/IUI ~ Pre-e and IUGR during pregnancy ~ DS born 9/4/12
Feb./March 2013: AMH less than 0.16 (undectable) and AFC = 4;
BFP from supps ~ DS#2 due May 2014
May 2014 January Siggy Challenge:
2011: FSH 13.3 & E 99; AMH 0.54 2nd FSH 6.2 E 40's AFC: 8
BFP from Clomid/IUI ~ Pre-e and IUGR during pregnancy ~ DS born 9/4/12
Feb./March 2013: AMH less than 0.16 (undectable) and AFC = 4;
BFP from supps ~ DS#2 due May 2014
May 2014 January Siggy Challenge:
That's bad. I would discuss it with your Ob at your next appointment. Tell her what the csection vs VBAC rates are at the hospital and explain you're concerned your chances of a successful VBAC are not good there. Maybe she has some insight as to why the rates are what they are. Ask if she can recommend someone at Ben Taub. Also you don't have to switch right away if you like where you are now, with DD I switched Ob in my third trimester.
2011: FSH 13.3 & E 99; AMH 0.54 2nd FSH 6.2 E 40's AFC: 8
BFP from Clomid/IUI ~ Pre-e and IUGR during pregnancy ~ DS born 9/4/12
Feb./March 2013: AMH less than 0.16 (undectable) and AFC = 4;
BFP from supps ~ DS#2 due May 2014
May 2014 January Siggy Challenge:
2011: FSH 13.3 & E 99; AMH 0.54 2nd FSH 6.2 E 40's AFC: 8
BFP from Clomid/IUI ~ Pre-e and IUGR during pregnancy ~ DS born 9/4/12
Feb./March 2013: AMH less than 0.16 (undectable) and AFC = 4;
BFP from supps ~ DS#2 due May 2014
May 2014 January Siggy Challenge:
The only problem is that I will have to switch OBs. So I basically have to choose between the hospital I want to be at and the OB I like. My plan as of right now is to interview a couple of vbac friendly OBs and then decide what I want to do.
2011: FSH 13.3 & E 99; AMH 0.54 2nd FSH 6.2 E 40's AFC: 8
BFP from Clomid/IUI ~ Pre-e and IUGR during pregnancy ~ DS born 9/4/12
Feb./March 2013: AMH less than 0.16 (undectable) and AFC = 4;
BFP from supps ~ DS#2 due May 2014
May 2014 January Siggy Challenge:
The only problem is that I will have to switch OBs. So I basically have to choose between the hospital I want to be at and the OB I like. My plan as of right now is to interview a couple of vbac friendly OBs and then decide what I want to do.
My question is this ... Who has more say over what happens? Your doctor or the hospital? I feel like if I trust that my doctor will help me avoid a c-section, the hospital rate doesn't matter as much. Or is that insanely naive
Thanks for this amazing, thoughtful, informative contribution to this discussion, stranger.
So, yeah, I think the hospital matters.
Everyone I am talking to on my local ICAN board is basically telling me to RUN away from Texas Women's Hospital. They are saying Texas Children's for VBA1C or VBAC2C and Ben Taub for VBAC3C or VBAC with multiples. Apparently, Ben Taub will pretty much let anyone VBAC (probably why they have the highest rate in the state for last year), but you don't labor in private rooms and it generally is not as nice of a hospital.
2011: FSH 13.3 & E 99; AMH 0.54 2nd FSH 6.2 E 40's AFC: 8
BFP from Clomid/IUI ~ Pre-e and IUGR during pregnancy ~ DS born 9/4/12
Feb./March 2013: AMH less than 0.16 (undectable) and AFC = 4;
BFP from supps ~ DS#2 due May 2014
May 2014 January Siggy Challenge:
Friends for 17 years. Married 10. TTC since Jan 2009.
2013: IVF#3/FET#4 Elisabeth CJ born April 30, 2014
Cerclage, P17, and 3 months of bed rest brought us our Rainbow.
Dum spiro, spero.