DH and I are starting to think about conceiving #3, but I would like to find a VBA2C friendly provider first. I have heard good things about Dr. Garfinkel, Dr. Banks, and Dr. Parchment. I'm wondering if any mom's can share their experiences (good or bad) with any of these doctors. Thanks!
Looking for VBA2C mom's in the Northern NJ area
It is definitely hard to find a doc who would be pro VBAC with two prior C/S as the risk of rupture goes up with each prior C/S and that ACOG recs are not really decisive about whether it this is a safe cadidate, but not impossible. But make sure you are at a hospital with 24hr anesthesia and an OB in house in case of emergency (just FYI...Mountainside does not)
Dr Banks said she would be willing to support me in a VBA2C. I did have a vaginal birth though so that might have something to do with it. However, she is a nice woman and I would definitely suggest interviewing her.
ACOG's latest recommendations so suggest that women with 2 c-sections be considered for VBAC. They also lifted their recommendations about immediate accessibility of anesthesia. http://www.acog.org/About%20ACOG/News%20Room/News%20Releases/2010/Ob%20Gyns%20Issue%20Less%20Restrictive%20VBAC%20Guidelines.aspx
Latest research shows that the risk of uterine rupture in a VBAC after more than 1 c-section is not significantly higher than in VBA1C. Every pregnant woman has potential risks during labor and childbirth. Every woman with broke membranes has a risk of cord prolapse or severe fetal distress. Somehow hospital manage to handle it. If a hospital is not safe to VBAC in, it's not safe to birth in at all.