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Please help for vbac!!!

post #1 of 19
Thread Starter 
Hi. I had an c-section with my first baby that I believe was completely unnecessary. I'd like to take a completely different approach for my next baby (not pregnant yet but hope to be soon). It seems everybody I talk to has no resources for me but wish me luck.

Does ANYONE know who I can call to pursue a natural vbac? Someone that will HELP me do a vbac, not just "allow" it. I'm not completely opposed to doctors but would prefer a midwife although I know there's a law against that in hospitals. I don't want to do anything illegal. Regardless, I plan to have a doula. But I have no idea where to start as far as finding an actual place that will be vbac friendly to deliver my next baby.

I live in the Upstate of SC...about 45 minutes from both downtown Greenville and Spartanburg. I am willing to travel if needed - Columbia, somewhere in NC even.

Thanks for any help you can give!!
post #2 of 19

You are not alone!

Hi there, ssene! I am a doula in Greenville and have spoken recently with several women who are searching this area for a Vbac friendly practice. Unfortunately, none that I know of have made this a reputation for themselves, and it really does take the legwork of calling and visiting several practices and reviewing your history with them before you can find someone who will agree to help you attempt it. Some factors they will consider are the reason for the previous Cesarean and whether you had single or double stitching on the incision. A Cesarean for breech or unfavorable position (which is not an indicator that this will repeat itself in future pregnancies) and double stitching make you a very good Vbac candidate, while "failure to progress" and single stitching might make it more difficult to find a willing provider. If you have a doula in mind already and are willing to make a commitment to working with her, she would probably be happy to help you with calling and visiting practices for this purpose. (I would be willing, for instance.) Hope this helps!
post #3 of 19
There is a freestanding birth center in Fort Mill, SC. I don't know if they take VBAC patients on but they may be able to tell you who over your way is supportive of VBACS. Looks like it's about 2 hours from you.

http://carolinabirth.org/
post #4 of 19
Thread Starter 
thanks! Alidoula...could u PM me ur number if you're ok with that?

I will check out the birthing center in Fort Mill also. Perhaps they could give me some more resources if not anything else.

I have no idea if I was double or single stitched but the reason was basically failure to progress even tho I did and was fully dialed and pushing. I believe the doc just didn't wanna wait around anymore. I was induced and know I ovulate late so I believe my body wasn't ready.
post #5 of 19
There are supportive practices in the upstate. By far, my favorite is Greer OBGYN which serve women at Greer Hospital. I've had a few Hypnobabies students VBAC with them. Greer Hospital is the most natural-birth friendly hospital in the upstate (deep tubs, large rooms, mostly great nurses, telemetry unit). Though it is still a hospital...so expect some of the usual policy/procedure.

It is not illegal for you to birth any which way you choose. If you hire a midwife to serve you at home for your VBAC, you are not breaking any laws.

You might enjoy reading this birth story of a local upstate mama I was honored to doula for.

The resources are out there!

Blessings,
Julie
post #6 of 19
the mama isn't breaking any laws, but isn't the midwife? (at least, that's what I've been told...)

(I'm also trying to figure out how to have a VBAC, preferably a HBAC as I was pressured into induction, then when I failed to dilate, they insisted on a C, when what I really wanted was to go home and be in my own bed)
post #7 of 19
I searched for months and couldn't find a midwife to birth my son at home - he was a VBAC. Instead, I had a hospital birth with a WONDERFUL certified nurse midwife w/ Lexington Women's Care @ Lexington Medical Center in Columbia,SC. Med-free, no epi and I was induced (due to pre-e)! Still managed! It was simply amazing.

There's a birth center in charleston, greenville, fort mill, and columbia - none do VBACs it's against the "law".
post #8 of 19

Thanks!

Great to hear more experiences and get more feedback. Keep the replies coming, ladies. More than the OP need this information!
post #9 of 19
Quote:
Originally Posted by cinderella08 View Post
I searched for months and couldn't find a midwife to birth my son at home - he was a VBAC. Instead, I had a hospital birth with a WONDERFUL certified nurse midwife w/ Lexington Women's Care @ Lexington Medical Center in Columbia,SC. Med-free, no epi and I was induced (due to pre-e)! Still managed! It was simply amazing.

There's a birth center in charleston, greenville, fort mill, and columbia - none do VBACs it's against the "law".
I have to say...It is NOT Against the LAW. There is No Law on the books that says it is Illegal for a woman to have a VBAC in a Freestanding birthcenter with a MW or at Home with a MW. There is an interpretation of the current SC DHEC regulations and that is it.

The cops will not be charging in to arrest mom or MW. This is the worst kind of fear-mongering.
post #10 of 19

Minfdfulmomma is absolutely correct.

 

Carolina Waterbirth in Simpsonville, SC is offering VBAC services. Give them a call! 864-329-0010

post #11 of 19

FYI, Carolina Waterbirth may not be able to attend VBACs after all.  I'd call to inquire:

 

Vaginal Birth After Cesarean (VBAC) at Licensed Birthing Centers (12/15/10) (pdf)

post #12 of 19

Hi, this might be a bit of a drive but  you might want to try Asheville area.

post #13 of 19

Last I heard, Carolina Waterbirth was not offering VBACs.  But it's been a year or two since I moved from SC.

 

I hope you find something.  This is the reason I traveled from SC, which has midwife licensure, to a state without licensure in order to have my VBAC.

post #14 of 19

By law, private practice midwives are not currently allowed to attend VBAC's outside of the hospital, which means no birthing center births and no (legal) homebirths. Midwives CAN attend hospital births, however, as long as they have a "real" doctor on call in case of an emergency. When I had my son two years ago, I did my prenatal care with Spartanburg Regional OB/GYN; they have several midwives on staff, and they were all totally supportive of my desire for a VBAC and my wishes for as little intervention as possible during my pregnancy. I ended up being delivered by a doctor, because the midwives are on rotation just like the doctors and mine were all off the night my son was born, but the doctor who delivered and all of the nurses who took care of me, before and after, were just as wonderful as the MW's about respecting my wishes and working with me to make sure that my delivery was as intervention-free as possible.

post #15 of 19


 

Quote:
Originally Posted by mindfulmomma View Post

Quote:
Originally Posted by cinderella08 View Post
I searched for months and couldn't find a midwife to birth my son at home - he was a VBAC. Instead, I had a hospital birth with a WONDERFUL certified nurse midwife w/ Lexington Women's Care @ Lexington Medical Center in Columbia,SC. Med-free, no epi and I was induced (due to pre-e)! Still managed! It was simply amazing.

There's a birth center in charleston, greenville, fort mill, and columbia - none do VBACs it's against the "law".
I have to say...It is NOT Against the LAW. There is No Law on the books that says it is Illegal for a woman to have a VBAC in a Freestanding birthcenter with a MW or at Home with a MW. There is an interpretation of the current SC DHEC regulations and that is it.

The cops will not be charging in to arrest mom or MW. This is the worst kind of fear-mongering.

 

 

Please excuse me - I posted hastily and ran.  I put "law" in quotes because I do not truly mean against the law - please understand that.

 

As a MW apprentice, I KNOW there is no "law" but I also know our code of ethics mandates we can not attend VBACs at home.

 

There was no reason to get snarky.  We are all in this together.  No need to insinuate I'm fear mongering when in fact, I am doing the opposite
 

 

post #16 of 19

I had no intention of being snarky, but realistic. While my tone may seem harsh, it is honest. I know we all have to realize that are words have power. With that being said not many women may understand what the "Quotes" you used actually meant. Some women who are not knowledgeable about VBAC in the state of SC are not going to understand. I have no idea how many times I have heard or seen typed. It is against the law for a this or that, and women not question it. 

 

As you said you typed and ran. I was simply clarifying for those not in the know. 

post #17 of 19

Okay, so now I am confused. When I was researching options for my VBAC, I was told that midwife attended VBAC, whether in the home or in a hospital setting, are illegal. I was told this by my hypnobirthing instructor, the MW who did my prenatal care, and the head midwife at the waterbirthing center in my area. Did I misunderstand them? How is it against the MW's code of ethics? And please know that I am not asking these questions to start a fight, but because I am genuinely curious. My fiancee' and I plan on TTC starting next year, so this is something that will affect me in the relatively near future.

 

 

 

 

 

 

 

post #18 of 19

VBACs are not 'illegal" so to speak as you can birth anywhere and any way you choose.

 

However, in a way, you did not misunderstand them....

 

Midwives are unable to attend VBACs (CPMs) at home or a birth center now because the regulatory board has deemed VBAC's as "high risk" and therefore out of the scope of practice for  a CPM. Some midwives are known to  deliver a VBAC "under the table" so to speak.

 

The only exception to the rule is Carolina Waterbirth in Simpsonville - they staff a CNM and OB at the birth center and DO attend births at the birth center for VBACs from what I've researched myself and been told from others.

 

CNMs (nurse midwives) can deliver VBACs in hospital

 

 


Edited by cinderella08 - 5/13/11 at 8:44am
post #19 of 19

There is no South Carolina Midwives "code of ethics".  Perhaps a little historical perspective can shed some light and truth:

 

As mindfulmomma said, Licensed Midwives may not attend VBACs due to an interpretation by DHEC (Department of Health and Environmental Control) of South Carolina Regulation 61-24, Standards for Licensing Midwives.  In 2004 and again in 2006, DHEC issued memos to all Licensed Midwives and Licensed Apprentice Midwives that their scope of practice is to attend only low-risk women, and that the Department's position was/is that VBAC is not a low-risk scenario.  The VBAC ban was challenged at numerous meetings, and this challenge went all the way up through the ranks of DHEC to the Commissioner's office.  In 2010 DHEC issued another memo regarding VBAC at Licensed Birth Centers, which I linked above.

 

Currently, Regulation 61-24 is in the process of being amended, and VBAC is listed in the draft (available at DHEC's website) under "prohibited practices."  Once VBAC makes it into the actual Regulation (a lengthy process that will ultimately go to the legislature/general assembly), it will have far more permanence than a memo.

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