Anyone else trying for VBAC w/ GD in NJ?

[ellairiesmom]

I am looking for anyone else who is trying for a VBAC in NJ, has GD AND is hospital birthing. I want to hear/share your provider's take on what happens & their game plan after 41 weeks or so specifically. Trying to get an idea of what different provider's do in NJ...and am especially interested in comparing a few midwives to a few ob/gyns to see how much of a difference there is in approach.

NJ has pretty strict laws on midwives & HBACs so I am not looking at that option.

TIA for sharing!

[ellairiesmom]

bumping with more info...

We are doing Bradley & possibly hiring our instructor as our Doula. My concern is that with GD & being on metformin (oral), and doing vbac, there are certain policies that my provider follows which include intervention at/around 41 weeks if I am not showing signs of progressing at all. My understanding is that in NJ, a midwife would follow these same precautions with a VBAC who is GD again & taking metformin. I am trying to confirm this as well as get a take from others in this situation & what their providers are discussing.

Thx!

[dlm194]

NJ midwives are required to have a doctor back-up so the policies of the midwife are typically dictated by the policies of the back up doctor for situations like this. Actually, most providers in NJ have a policy of not letting any VBAC go past 41 weeks. It's kind of silly since there isn't evidence of VBAC risks going up past 41 weeks. I know with GD, they worry about the baby getting too big, etc but I don't know if the evidence really supports "big" babies in well controlled GD mom who go past 41 weeks.

[schreiberwriter]

If your GD is controlled, then you are no different than any other woman (maybe even healthier).

I had a VBAC in IL in the hospital with a midwife. I had outer monitoring (belly band), IV fluids and monitored blood sugar every 2 hours. I ate jello when it got low, which was nice.