Originally Posted by wombatclay
My local hospital does not have 24/7 ER coverage but they bring in a complete team when a vbac mama arrives. It's expensive for them
and as they've recently changed financial management teams this service may not be maintained.
Same thing in my case, the anethesiologist popped his head in after I arrived in active labor and said, I'm here waiting just in case, I'm sure you won't need me though. (this was a pretty VBAC supportive hospital in Santa Cruz, CA) Not only does he need to be there, according to their policy, he needs to be there *just* for me. The theory is, even if an anethesiologist is on site, on duty, he could be busy with an emergency appendectomy or in the middle of an epidural, right at the moment that the VBAC mama needed him. So this doc was just being paid to doze in the Dr.'s lounge and wait for me to deliver. Not very cost-efficient, true, BUT...
it has to be 10 times more cost efficient than performing 30% more c-sections than neccessary! I pointed that out in a conversation about this once, and was told that, yes, that's true, except so few women want a VBAC while many are fine with/even want a c-section. So that cost is a given, while the VBAC mamas are fewer so it's just considered an added, avoidable expense for the hospital.
I think about this a lot, just the financial side and how health care dollars are being spent on so many c-sections. This stuff does come down to money, and that's fine, it's a reality. But strangely, in this case, even among those supposedly concerned about the $$ side, no one seems to realize how much *cheaper* (and healthier) VBACs are for the vast majority of women. (and of course just avoiding unneccessary c-secs in the 1st place)