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Opinion Needed Re: OB

post #1 of 3
Thread Starter 
I am planning a VBAC and have been looking around for an OB. I met one yesterday and I really liked her. She is very supportive of VBAC and has delivered lots of VBAC moms (including one she mentioned that has had 3VBACs and she has delievered every one of them). She is supportive of natural birth as well. She is fine with going past due dates, up to 43 weeks. She will allow a heplock instead of a full-blown IV. She said most of the nurses love assisting at natural births and argue over who gets to take the natural moms (and I know at least one nurse there who had her baby natually, delivered by this OB). She wants VBAC moms on continuos fetal monitoring, but she did say that she has allowed a few moms come off it after a while if everything was going well. She is okay with birthing in a squat and whatnot. The only thing she said an absolute no to was a water birth (they actually do water births at this hospital).

She was very honest and didn't treat me like I was a nut.

The things I didn't like are that it's a OB group, so there are other OB's. She told me that she delivers about 80% of her moms. She said the other OB's that are on call during the week are very good and VBAC supportive. BUT on the weekend she said there are a few that don't like VBAC and will do everything they can to scare a mom into a repeat c/s. She said that as along as I know my "stuff" I should be okay with warding them off.

She did mention the big baby thing (my last was very big) but didn't say she wouldn't allow a VBAC for a big baby. She just said that my son might not have come out anyway.... She also suggested that I had GD and it went unnoticed, and that was why he was so much bigger than my other baby.

One other thing that made me nervous is that she told me she wanted a VBAC with her last child, but chose to have a c/s at 39 wks so that she would have the full amount of maternity leave. That doesn't seem in line with everything else. However, I am kind of able to overlook this because she was certain it was her last baby and honestly, if this was my last baby, a c/s wouldn't be as big a deal to me (I would try for a VBAC but I wouldn't put nearly the effort into this as I am now).

She has been the best by far at this point. The 20% chance that I could end up with someone else makes me nervous, but I have a feeling a that is just normal. What do you think?
post #2 of 3
Are you currently pg (sorry if I missed something obvious)? If not, I'd keep looking - not ruling this one out, but at the same time you don't have any reason to commit right now.

Is there a chance that there are any good hospital midwife practices near you that take VBAC's? You might be able to find a practice where they are more universally pro-VBAC. For most OB practices that I've had knowledge of, the likelihood of you getting your OB is never 100%, so if you can find a practice where the majority of the doctors are proVBAC, you're probably doing pretty well.
post #3 of 3
I'd hire a Doula NOW! ESPECIALLY if you decide to go through this OB. I'd also keep looking around.

All the medical orgs. say that 'suspected big baby' is no reason to deny a mom a VBAC because you can't know a baby's size till AFTER he/she is born. So i say that's silly. Especially if you worry about having a 'big baby', and that may be a potential for you. Even if it wasn't a potential, I'm betting they would do a 37 wk u/s as 'protocol' and those are notorious for be off on fetal size.

There is so much more to VBACing than the thought of more children. It's healthier for mom and baby short and long term. Of course for future children it's very important also, but I would say that's not the only reason/deciding reason to VBAC or not.

I think the no water birth thing is silly, but you can make your own choice on that, if you DO want a water birth (as most women do as it's very very very nice in labor and birth) ask about signing an AMA form to get it.

I think in any situation, it's important that you 'know your stuff' and this is more of a deciding factor in a VBAC than your CP.
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