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Changes in VBAC at Mercy

post #1 of 23
Thread Starter 
Just an FYI....

I found out today that Evelyn Muhlhan's "backup" OB at Mercy is no longer allowing VBAC's.

This doesn't affect me directly ( I hope!) as I'm planning a HBAC but it DOES mean that if we did have to transport, Mercy is no longer the "best" option as Evelyn will not be allowed to stay with me and deliver the baby. She would be treated there as she would be at any other hospital because I am a VBAC patient.

I also know that Evelyn and Kathy Slone have different OB backups and if you do want to VBAC in the hospital, Kathy's practice are (currently) still allowed to do that.

I don't know any more information on this and its just very sad that yet another choice has been removed for VBAC moms in the Baltimore area.
post #2 of 23
That is sad. Did you find that out from Evelyn? Any idea what the OB's reasoning is?
post #3 of 23
I'm really sorry to hear that. I hope you have a beautiful HBAC!
post #4 of 23
Thread Starter 
Quote:
Originally Posted by jrowe View Post
That is sad. Did you find that out from Evelyn? Any idea what the OB's reasoning is?
Yes, I did find out from Evelyn at my appt....and as far as reasoning? The best they can guess is malpractice. I don't know if a "real" reason was given. Although at the back of my mind, I'm wondering if any of it is political. I know that there is a plan to re-open the Baltimore Birth Center and Evelyn is involved. Given the new decisions about accredited birth centers and VBAC's (they may now be allowed) that would certainly take a good bit of business from Mercy. I don't want to by cynical, but......you never know if that hasn't played some part also.
post #5 of 23
i also spoke to evelyn a few days ago and she mentioned this and said the reason is that her backup doesn't want to 'labor-sit' anymore...i think meaning that if a vbac mom comes in w/ e, the back-up OB has to be there the entire time 'in case'

i'm sure there could also be political reasons, but that's what evelyn told me

there's also someone new at ABC...i think she used to work w/ e at the birth center...i can't remember her name, i think maybe susan?
post #6 of 23
Hi, ladies!

Don't fear too much. I know it is a perfect birth when your preferred midwife can catch your VBAC baby at your intended hospital but you can always switch to another VBAC-friendly midwifery group until Evelyn and her back-up gets this ironed out or you can simply show up at any hospital anytime and refuse to consent to a c/s. It helps if you show up late in labor and near ready to push!

Here's your childbirth rights!!

http://www.trustingourbodies.com/ChildbirthRights.html
post #7 of 23
Quote:
Originally Posted by kryztuh View Post
[COLOR="Navy"]i also spoke to evelyn a few days ago and she mentioned this and said the reason is that her backup doesn't want to 'labor-sit' anymore...i think meaning that if a vbac mom comes in w/ e, the back-up OB has to be there the entire time 'in case'COLOR]
Doesn't want to labor-sit, huh? Figures.
post #8 of 23
I blame the hospital more than I blame on him :

What's the scoop with the birthing center?
post #9 of 23
I work at Mercy and am HAPPY to bring this discussion directly to Altas (Head of OB) and Michele Schwarzman (Director of Child /Maternal Health). We are really trying to get away from this kind of stuff. I am pretty sure this is not a Mercy policy, rather the OB's policy. I am guessing her back up is Dr. Lawyer, because that is who she offered to me last week when I miscarried (20w). Even though I was distraught I was with it enough to say NO thank you! I gave her alternative OB's and said I would wait until they were able to see me. Of course that is more difficult in an emer. transfer situation. In any case I do not think it is right to deny VBAC, the research backs us up. And god-forbid an OB works a few hours for a labor of all things!
post #10 of 23
I am really sorry about your loss.

Jen
post #11 of 23
I too am sorry for your loss.
For whatever it's worth...and I'm sure everyone is pretty cautious but, I would be very careful about seeing Dr Lawyer for anything. When I was younger and before I considered having children, I was a patient of his. I chose him from a referral and found him to be extremely clinical, rude and not very organized. On 3 occassions my chart was confused with other patients who shared the same name. These staff/clerical errors ended up being costly as I was given and sent for unnecessary testing as well as an emotional toll from being lectured by Dr Lawyer for my "life style". The clerical errors confusing me with the patients classified me as someone in a high risk group of multiple partners, drug abuser... At my last visit he yelled at me and when I asked him to check the chart to make sure that it was my info, he asked me to verify my address then slammed his fist on his desk. When he returned with "my chart", he never apologized for the mistake or his actions. I did report him to the state and the Atty General's office.

gerlassie
post #12 of 23
Thanks for sharing that. I was really surprised when Evelyn pulled his name out of a hat as who she would contact! At our initial consultation she mentioned not haveing any particular OB she works with and advised me to choose my 'back-up', which seems sensible on all accounts.

I want to reiterate that I do not believe Mercy has a 'policy' per se on VBAC, but I do know differnt OBs perform very differently/autonomusly at Mercy. Some I would reccomend and others I would NOT...case in point!

(Thank you for the kind words - some days are better than others)
post #13 of 23
I think she recommends him only because he is her official back up for her homebirth practice. It was a surprise when I found out as well...their styles are quite different. From speaking with some other midwives, it sounds like it is often the case that you more or less take what you can get in a back up for those rare times that you need to transfer.
post #14 of 23
Kathy Slone's group does VBACs. It's a shame Evelyn doesnt anymore, but it's no surprise that Dr Lawyer has vetoed it... Hope the Birth Center reopening goes through!
post #15 of 23
The info I got from Mercy is this:
1. Yes, Lawyer is no longer doing VBACs due to fear of lawsuits.
2. He does very little in the way of bedside practice since he has hired new midwives and an additional physician

Finally a quote from M. Schwarzman Dir. of Child/maternal Health: "There is no policy prohibiting VBACs. Our statistics remain consistent at 24 to 26% successful VBAC each month."

I am not sure how that stacks up to other hospitals but at least Mercy is 'doing' Vbacs.

Hope that helps in some way for moms lookin gto Evelyn for VBACs.
post #16 of 23
I thought Mercy's policy was to allow them as long as an OB was hanging around. And the doctor didn't want to anymore. Is this also not true?

BTW, Evelyn referred to me Dr. Atlas when I needed an ECV, and he was great, and actually a supporter of VBAC in our discussions.
post #17 of 23
24 to 26% of the women who attempt them get them or is it that 24 to 26% of the births at Mercy are VBACs?

I don't have any way of comparing a VBAC rate from one hospital to the next as the only info I can get from the state is the number of VBACs done at each hospital but it isn't given as a rate according to how many attempted them. Plus, the chart they post has several hospitals listed as "n/a" even though to my knowledge we only have one VBAC ban in the state.

-Barbara Stratton


Quote:
Originally Posted by Maidenwisdom View Post
The info I got from Mercy is this:
1. Yes, Lawyer is no longer doing VBACs due to fear of lawsuits.
2. He does very little in the way of bedside practice since he has hired new midwives and an additional physician

Finally a quote from M. Schwarzman Dir. of Child/maternal Health: "There is no policy prohibiting VBACs. Our statistics remain consistent at 24 to 26% successful VBAC each month."

I am not sure how that stacks up to other hospitals but at least Mercy is 'doing' Vbacs.

Hope that helps in some way for moms lookin gto Evelyn for VBACs.
post #18 of 23
And THIS is why I'm going to medical school instead of becoming a cnm/cpm. I want to be the back up for these midwives that are serving our community.
post #19 of 23
You are awesome, mysticmomma!
post #20 of 23
Thanks! I hope to be able to stay in Baltimore, but not sure of my chances at Hopkins or UM as a nontraditional student. It's gonna be 10 years before I get there anyway. We've got 2 more years, finish RN and AS in BIO. THen 2 years to finish BS BIO, then 4 years medical school, then residency... geez. I need to get back to attending births again as a doula. Gotta keep my recent patient contact up.
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