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Is a second VBAC still considered a VBAC??

post #1 of 36
Thread Starter 
Help!! I just found out Im pg with #3. We moved to Maine in 2005. Previously lived in PA and had a wonderful OB who fully encouraged and supported my VBAC with #2. It was a great experience and I did it with absolutely no problems!!

So here is the kick in the gut. There isnt a dr in the entire state that does VBAC's up here!!! : I am waiting to hear from the midwife if this would be considered a VBAC or a normal delivery. My c-sect was 6 years ago, my VBAC was 3 years ago.

I am fuming mad to say the least and dont know what I will do if it comes down to them telling me I HAVE to have a C-sect. :
post #2 of 36
Yes, its still considered a VBAC but since you had a successful one in the past few years its very possible you can find a provider to take you on.
post #3 of 36
Quote:
Originally Posted by caeden&connersmom View Post
I am fuming mad to say the least and dont know what I will do if it comes down to them telling me I HAVE to have a C-sect. :
Don't forget, they can TELL you whatever they feel like, but you don't HAVE to do anything you don't want too. Granted, they don't have to keep you as a patient though. Have you considered a homebirth or UC?
post #4 of 36
The doctor my midwife is umbrella'd under considers it to still be a vbac, but gives his blessing for hb so, if I ever have another, I can have the hb I so desire/

Amydidit is right, they can tell you anything they want...you can also do your own research and don't have to do what they tell you. They work for you, remember that...I think hb is the way to go. good luck mama
post #5 of 36
Quote:
Originally Posted by amydidit View Post
Don't forget, they can TELL you whatever they feel like, but you don't HAVE to do anything you don't want too. Granted, they don't have to keep you as a patient though. Have you considered a homebirth or UC?
f your VBAC went that well I'd say HB or UC would be an awesome option for ya, seein' as how you are all confident now, right?!?
And as dumb as it is, yes. 2nd VBAC is considered VBAC. Where is the "proven pelvis" crap here, where I ask you, where??? Sorry, it just has me irked!:
post #6 of 36
Thread Starter 
Yes : it is. There is only one hospital in the state of Maine that will deliver VBAC. (I am an hour and a half away) I am sick and incredibly : I cant believe this. I guess coming form PA where VBACs are greatly encouraged, I just cant fathom a state so set against this. Never even crossed my mind I couldnt do it again.

And I PROVED I can birth that way too! grrrrrr.

I would absolutely consider a HB but am pretty sure my insurance would not cover it. There are a ton of Midwives in this area (Go figure, must have a need cause no one will do freakin VBACs!!!)

So so sick over this.
post #7 of 36
Sadly, it IS considered a VBAC with all the inherent "risks" (for the provider, that is). I vote for seriously thinking about a hbac or UC as well.
post #8 of 36
For a home birth, the cost is really reasonable usually. I priced out midwives (although they arent allowed to attend VBACs in SC) and it ended up costing about the same as my after insurance costs for the OB and they had really reasonable payment plans. (I ended up actually paying a blanket price for OB services that included birth and even though they kicked me out of their office ON MY DUE DATE they refused to give me back the money...and even tried to charge me an outstanding $55 ... grr)

Even if you do feel you need to go the hospital route, they are legally unable to do anything to you against your wishes. Contact ICAN, and get as much information about your rights as you can. I homebirthed my last (UC) but we had a packet prepared for if we went into the hospital, that included a birth plan, a statement of intent, and a copy of the law that says they cannot section me or do anything to me without my consent, but that they have to treat me within my requirements. (doctors dont have to do this, they can just kick you out, but hospitals are required to take care of women in labor, no matter how obstinant and demanding you choose to be)
post #9 of 36
yes and it downright pisses me off

I am preparing for my 5th VBAC and I am still considered a VBAC patient and I cannot use a midwife here in Alaska for an out of hopsital birth because they are forbidden to take on any patients with previous uterine surgerys.

UGH!!
post #10 of 36
so technically I am a VBAVBAVBAVBAVBAC
post #11 of 36
This stuff really annoys me. I really don't see why my birthing career should be forever defined by having had surgery once. I had surgery the first time and I didn't the second time. No biggie. Changing the model of care should elicit a more evidence based response.
post #12 of 36
Quote:
Originally Posted by roadfamily6now View Post
so technically I am a VBAVBAVBAVBAVBAC
Me too minus one and facing the same problems - hospital policy here is now "once a c-section, always a c-section." My OB has told me that if I show up too late to assemble a surgical team then they won't give either of us any crap about doing a VBAC (8ish cm - or less and moving really fast), but other than that I will have to refuse while in labor or just stay home. She's willing to work with me as much as she can (said she would send me home or walking if I wasn't close enough but water hadn't broken yet). I've been to the ICAN website and read about filing complaints, but I worry that doing that will throw up red flags and I'd rather just slide under their radar than have to refuse, plus I've kind of waited too long now trying to decide.
post #13 of 36
Thread Starter 
Quote:
Originally Posted by EFPookie View Post
Me too minus one and facing the same problems - hospital policy here is now "once a c-section, always a c-section." My OB has told me that if I show up too late to assemble a surgical team then they won't give either of us any crap about doing a VBAC (8ish cm - or less and moving really fast), but other than that I will have to refuse while in labor or just stay home. She's willing to work with me as much as she can (said she would send me home or walking if I wasn't close enough but water hadn't broken yet). I've been to the ICAN website and read about filing complaints, but I worry that doing that will throw up red flags and I'd rather just slide under their radar than have to refuse, plus I've kind of waited too long now trying to decide.
Thanks to some suggestions, I am just going to labor at home until I am at the verge of having to push, go to the local hospital and deliver. I was wondering about that, what would happen if my water broke and I went into labor and couldnt make the hour and a half drive to the VBAC hospital. They cant MAKE you have a c-sect if you are on the verge of delivery I assume.

I actually read somewhere that VBAC's are losing out in the medical field and that more and more doctors refuse to do them. I just dont understand that at all. I guess I am very grateful I had such a pro VBAC doctor for my second son. He didnt even want to talk about another c-sect unless it was medically necessary. I loved him!!!
post #14 of 36
Technically in our state...FL....you are still a VBAC but you are a lower risk VBAC. A VBAC with a proven pelvis which allows for some providers to take you on.

For example...I am having a HBAC but I didn't have to have an OB sign off on my birth this time but I did for my first.

I HIGHLY recommend an HBAC. I have now had 1 hospital and 1 HBAC. I liked my HBAC so much better. I am planning my 2nd one for the next couple of weeks.
post #15 of 36
Quote:
Originally Posted by rstump View Post

For example...I am having a HBAC but I didn't have to have an OB sign off on my birth this time but I did for my first.
.
That's horrible! As if you are some school kid needing permission. It is just infuriating the kind of treatment pregnant women are getting.
post #16 of 36
Quote:
Originally Posted by caeden&connersmom View Post
Thanks to some suggestions, I am just going to labor at home until I am at the verge of having to push, go to the local hospital and deliver. I was wondering about that, what would happen if my water broke and I went into labor and couldnt make the hour and a half drive to the VBAC hospital. They cant MAKE you have a c-sect if you are on the verge of delivery I assume.

I actually read somewhere that VBAC's are losing out in the medical field and that more and more doctors refuse to do them. I just dont understand that at all. I guess I am very grateful I had such a pro VBAC doctor for my second son. He didnt even want to talk about another c-sect unless it was medically necessary. I loved him!!!
Right - the same laws that don't let them turn away those who can't pay also don't allow them to turn away anyone in active labor. Then they can't make you have a c-section (technically they could by court action, but it seems highly unlikely that they would or would have time to if they really tried). I feel more confident because my doctor is with me on the VBAC issue and is against the hospital's policy, but either way I would still have the same plan of action I think. If she weren't, I might be slightly more likely to drive the 45 minutes to the possibly VBAC-friendly hospital (there it is the doctor's choice, but only a few choose to do them).

I too had a doctor with my second that pushed VBAC as the first choice and barely mentioned a repeat c-section. He's my OB hero :-). Sadly, that hospital also doesn't allow VBACs anymore.
post #17 of 36
Isn't Maine the state where Christiane Northrup (the author of Women's Bodies, Women's Wisdom) practices? I would think that she and the doctors working with her would be very pro-VBAC.
post #18 of 36
Quote:
birthing career should be forever defined by having had surgery once
It's totally not fair, but from the medical perspective that "one surgical procedure" has left us all with a permanent scar. And even once that scar has been "proven" by a successful VBAC it's still there...and still a medical liability (from the hospital/doctor perspective). It stinks. But there it is.

OP- I'm soooo sorry! The positive birth culture in my current home town is one reason we decided to have our VBAC babe sooner rather than later...we know that we'll be moving to a much more "medical" area in the next year or two and we just didn't want to risk it. Having proven your pelvis and scar by having a VBAC might make you low risk enough for a more holistic/moderate care provider? And maybe you could use a care provider during pregnancy but then go with a hb or uc at the end...so the insurance would at least cover the prenatal and you could claim a "couldn't make it to the hospital in time" sort of thing?

Good luck...I hope this works out for you!
post #19 of 36
Quote:
Originally Posted by wombatclay View Post
It's totally not fair, but from the medical perspective that "one surgical procedure" has left us all with a permanent scar. And even once that scar has been "proven" by a successful VBAC it's still there...and still a medical liability (from the hospital/doctor perspective). It stinks. But there it is.
Yep. Most are completely willing to give you a csection, whether it is neccessary or not, will downplay or completely gloss over the risks to you and baby, then fail to tell you anything at all about the impact it will have on the rest of your birthing career. Don't you just love "informed choice"? :
post #20 of 36
I had my 2nd VBAC(HBAC) in FL, and besides the fact that my MW felt more comfortable w/ me having a "proven pelvis", she was still supposed to have OB back-up, etc. We didn't bother w/ that, though.

I knew someone(yes, first person - not "a friend of a friend" ) in FL that was forced(b/c she didn't fight it) to have a c/s w/ her 4th baby eventhough she had already had 2 VBACS in the same town. I was like over my dead body would I let them cut me just b/c they don't "allow" VBACs anymore, but you can't make someone care about their rights. :

Add me to the list of those that are pi$$ed off about the state of birth, particularly VBACs, in our culture.
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