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I need to vent-ACOG, homebirth specifically HBAC

post #1 of 9
Thread Starter 
So they say it is not safe. Yeah, of what I know they are basing that on studies of high-risk HB compared to low risk hospital birth. That is stupid, and inaccurate.

And what is the difference between a homebirth and a freestanding birth center birth? Not much in my opinion, all the "emergencies" can just as easily be taken care of at home, with pitocin, oxygen, and other medical supplies a midwife brings, so why say a BC is ok, but not a HB?

VBAC, come on, please, the reason VBAC is SOOOO risky according to ACOG is because they looked at ONE study in which most moms were induced with cytotec, and or Pitocin and, because of that, rupture rate was over 3%. In every study with no induction or augmentation, it's less than 1%, usually around .5%. IF this uterine rupture DOES happen, how is a birthing center going to provide a cesarean?

The cesarean rate is very high (31% here) and this "emerging contributors include maternal choice and the rising tide of high-risk pregnancies due to maternal age, overweight, obesity and diabetes." is bolonga!!! It has been proven over and over again, that these contributors are NOT what is causing the raise in rates.

and then there is this "there is no scientific way to recommend an 'ideal' national cesarean rate as a target goal." Oh yeah, the WHO, they don't know what they are doing, or saying, and they of course were in no way "scientific". 15%, it's that simple, stop cutting women open unnecessarily, it's not a zipper!

"The availability of an obstetrician-gynecologist to provide expertise and intervention in an emergency during labor and/or delivery may be life-saving for the mother or newborn and lower the likelihood of a bad outcome" Yeah, according to the studies, all these interventions, they are not lifesaving, more women and babies die in hospitals. It's a fact.

"It should be emphasized that studies comparing the safety and outcome of births in hospitals with those occurring in other settings in the US are limited and have not been scientifically rigorous. " Yes they have. The ones ACOG look at have not been scientifically rigorous.

"Choosing to deliver a baby at home, however, is to place the process of giving birth over the goal of having a healthy baby." Right, like a a mom doesn't want to end up healthy, or her baby. When women say, 'I want a good birth experience' that INCLUDES a healthy mom and baby.


I'm so pissed of because the reason my insurance company is denying coverage for a homebirth is because of this article. It's still cheaper to go through a HB MW than to hosptial birth with insurance coverage, but I'm still pissed off, that some moms have to choose to birth in hospital because their insurance companies are as close minded and absent minded as mine.


AAAAAAARRRRRRRRRGGGGGGGGGG!!!!!!!!!
post #2 of 9
I hear you Mama.

In my state (PA) VBACS are prohibited at birth centers. So it's home birth (which most insurance does not cover, and is not mandated to in PA) or hospital birth only.

We had a hospital VBAC last go round (at an "excellent" hospital with a 34% CS rate - it is in a health system with two other hospitals who each sported CS rates OVER 40%.....my daughter was one of only 16 VBACS out of several thousand births in '08 at that hospital), and are choosing a HBAC this time, but the decision to come up with $4000 or not almost made us opt for another hospital birth. My insurance is fantastic for hospital births and our entire prenatal care, delivery and hospital stay would be virtually free. It is so unfair and illogical.
post #3 of 9

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Edited by GoestoShow - 1/4/11 at 9:08am
post #4 of 9
Thread Starter 
My midwife does do the billing through her own company, and she is listed as an out of network provider, so I think I may get my prenatal $ back, but the money isn't the issue for me. She is only charging $2850 for birth, and if I was going to go to a hospital, i'd have to pay around 5-6K$ and that's with insurance covering it.

http://www.acog.org/from_home/public...02-06-08-2.cfm

This is the article I was referring to. The also say "Childbirth decisions should not be dictated or influenced by what's fashionable, trendy, or the latest cause célèbre." Which pisses me off even more. Like HB don't take into consideration, the "risks" that we just do it because Ricki Lake did. Please, I think we accuse celebrities of changing our maternity system, just not in this way; ie, Brittney Spears and others "too posh to push". If anyone is basing maternity care on "trends" it's ACOG and they have been doing so since birth moved to hospitals!

*SIGH*
post #5 of 9

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Edited by GoestoShow - 1/4/11 at 9:08am
post #6 of 9
Quote:
Originally Posted by AustinMom View Post
"emerging contributors include maternal choice and the rising tide of high-risk pregnancies due to maternal age, overweight, obesity and diabetes." is bolonga!!! It has been proven over and over again, that these contributors are NOT what is causing the raise in rates.
Yes, we know that. But ACOG doesn't really care that much about good science.

Vent away! BUT... you may be able to convince your insurance to pay anyway. I've read some great posts in my tribal area. It's worth looking into.
The idiotic thing about all this is that ACOG doesn't have any legal, official power!! There's no reason they should get to dictate this stuff.
post #7 of 9
Thread Starter 
I know, and sadly, my insurance company said since it is independently paid by the company and not the state, the state guidelines don't apply to them. I don't have much hope for them covering it, but in the essence to potentially help women in the future, I will be writing a letter. I may make copies and send another every month or so to them. Who knows. I think my energy would be better served getting Austin to adopt water birth in the hospitals again. At least my OB and her group would back me up on that!
post #8 of 9
I knew somebody who worked in an insurance company's call center. Apparently employees actually have incentive$ based on how many claims they can deny. That's why if you keep calling with the same question, you'll get a variety of creative answers as to why they can't cover you.

Here's a really good start for you:
http://www.gentlebirth.org/archives/CFMInsurance.html

Don't give up just yet, Mama.
post #9 of 9
Thread Starter 
I saw this and have it saved to my favorites.

Here is the thing for me, last pregnancy was pretty stressful for me. There was alot going on in my marriage, the pregnancy was difficult, we had to relocate for a couple months (due to husband's job) and then move back, me and my family were on horrible terms, blah blah blah, there was a lot going on. This pregnancy, especially since it is a VBAC and my first homebirth, I want to make it as low stress as possible. I know if I hassle with the insurance company, I will get very heated, and very passionate, but only somewhat stressed out. I want to avoid stress at all cost. Right now, since morning sickness has kicked in, I am in now way wanted to sit on hold, be on the phone, call around, etc, and, added to that, I'm chasing around a 17 MO.
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