I guess I'm outside the norm, because my high-risk perinatologist guided me through a successful VBAC with my last pregnancy. He laid out the risks for me either way and told me that in the ongoing research study that he actually was co-author on, the comparative risk of uterine rupture in VBAC was higher than that of repeat elective C-section, but the overall risk was still extremely low, and therefore if I wanted to attempt VBAC, he supported me in that. And he did, and I had a great VBAC, even though I had a *gasp* OB.
Quotes like this are very depressing to me:
|If you want a spontaneous physiological birth hire an expert - a midwife.
Yeah, that would be great, except that as an insulin-using diabetic, no midwife would take me, and believe me, before trying to conceive my second baby, I think I called just about every midwife in the Seattle area. (We have since moved from there.) Sorry, too high-risk, I was told over and over again. So is the message for someone like me, "Sorry, you are stuck with a knife-wielding surgeon who is bound and determined to slice you open no matter what your wishes?" Because I think that's a depressing and not really particularly helpful message. Something that might be more helpful is, "While a midwife would be ideal, there are OBs out there who will be supportive of your chosen birth experience, and it is worth your time to search one out and find one if a midwife is a not an option for whatever reason."
I know that with my particular health issues I'm in the minority here, and that most women don't face the issue of being risked out of a midwife birth. But for those of us who do, or for those of us who feel the need to use an OB for whatever reason, I think it's important to remember that there ARE good OBs out there, and you don't have to be stuck with some jerk who won't respect your birth wishes just because you are going with an OB.