Risked out for homebirth VBAC?

[PaisleyStar]

I am curious about the opinion of the birth professionals over here. I live in an area where it can be tricky but not impossible to find a homebirth midwife, and all but one (that I know of) are practicing illegally. I had interveiwed with one I loved, and was just informed that she & her partner think it's too risky for me to do it at home and aren't willing to take that on. I am totally devestated as I have NO trust in OBs and hospitals, but I am also not interested in putting the baby at higher risk "just" to have my homebirth.

Here's the deal. I had a C/S for "failure to progress" : a year and a half ago. (My kids will be about 23 months apart when this one comes) It was followed by an external wound infection and also a hematoma on the inner part of the scar on my uterus. The hematoma caused hemmorahging and blood transfusion, rehospitalization and heavy duty antibiotics. (They did a a hysterosalpingogram a couple months later and everything looked clear.) I have never even heard of anyone else having such a thing. My OB at the time had heard of it but never seen it.

Anyway, based on this history, after reviewing my medical records the midwives are unwilling to take me on for a homebirth. Anyone have another (or the same) opinion? Would that have risked me out in your opinion too? I'm really curious.

[wumanh]

The infection and hematoma make you at greater risk for rupture. A lot of midwives would risk you out but for me, it depends on the individual woman's health, determination, acceptance of risk, willingness to transport, etc.

[PaisleyStar]

Originally Posted by wumanh

The infection and hematoma make you at greater risk for rupture.

Yes, I understand that. But how much greater of a risk? And for instance, what is that risk compared to the risks of an ERC? It's not like my choices are a HBAC with MWs vs a competant OB I trust in the hospital.