I'm only on VBA1C, but the hospital midwives are not 100% behind me either. So far I have interviewed several different OB/midwife people at four hospitals in the Portland area...
1. Providence St. V. The doctor from Columbia Women's Clinic said I could do a trial of labor (TOL) if everything looked good but VBAC is risky and she is worried about that. Also, not all the doctros there allow VBAC, so it would depend partly on who I got during labor. The midwife from Women's Health Care Associates said I'm a good candidate but they could not accept me officially until a consult with an OB at 6 months. She said it is good that I want a TOL, and I would be a good candidate for group prenatal care that they offer. Her assistant was nice but worried that I wanted to try something so risky as a VBAC. And when asked, the nurses on the L&D floor said I might be allowed a VBAC if my OB would okay it, they didn't know anything else.
2. Tuality. L&D nurses said if I could find a doctor who would allow a VBAC I would be able to TOL. They don't have midwives and laughed at the idea of a birth plan.
3. Legacy Meridian Park. Made an appointment, they forgot I was coming. I only briefly checked out Legacy Emmanuel, which I've heard really good things about, but they are pretty far away from us. When I called Emmanuel's midwife group, the first thing on the phone menu options was getting ahold of an on-call midwife if you are in labor. So that's a good sign, but I have not followed up yet.
4. OHSU. Would accept me for a VBAC but "don't get your hopes up" until the 6 month OB appointment, when they decide if I can stay in the midwife program or must transfer to the regular OB group. Recommended group prenatal care to me, said I am a good candidate for that. They require a placement ultrasound at 36 weeks, and if baby is breech or big, I would need to get 2 more ultrasounds and an MRI to be cleared for TOL. They share a total of 7 labor rooms with the regular OBs, so I would have to call in before coming to learn if I could even come in at all that day or if I would need to google the nearest other hospital. I have now been to three appointments, and at every one I arrived ten minutes early. At every one I got called back over 30 minutes after the appointment was supposed to start. That's called to the room, not actually seeing the nurse, mind you. Once, we waited an hour and a half, and finally I had to leave for another appointment before actually seeing anyone. They said they are just really busy right now. I expect this means alot of people were recommended to them and we're all going to end up competeing to fit in that last trimester, let alone EDD.
I did have a consult with Andaluz Birth Center. If nothing else it was a time to feel good about my chances for VBAC and learn about community resources (their one day prenatal class is only $35, a bit hippie for my taste but good information and far cheaper than anything). I will add, in favor a birth center, there are several located less than 5 minutes from major hospitals, and you can get AN HOUR of their time free. Last baby I didn't get to see my OB for that long, not even in total.
I also talked to three home birth midwives, not including the two I've spoken to at birth centers. All were quite confident about VBAC, and said they usually see the same success rate for VBAC as for regular births (meaning CS happens at about the same, 3% rate, for everyone). About 5% of their clients, they said, transfer to a hospital. So about half the hospital group end up needing a CS, uterine scar or lack thereof.
That's my experience so far.