I'm in the single-layer closure boat as well, but fortunately, my mw is unfazed by it. Have you considered mw care, they are generally more willing to oh, you know, relax
. There is a division amongst healthcare providers about the safety of single closure vbac, but it is by far not the most important factor to consider. Time between pregnancies and amount of difficulty during original healing (infection and such) are far more important. If you search the net, you will find that only one study has ever shown an increased risk with single layer closures and that was almost 20 years ago. Since then, there are a plethora of studies that show it is perfectly safe and in some results, women with single were less likely to rupture than women with double. The philosophy about double is that more scar tissue will make a stronger seal than less. However, the philosophy with single is that it takes less time to close up during surgery, so you are exposed to germs for a shorter time, so I wouldn't get too upset at your OB quite yet, and if you knew me, you'd know I am very anti OB, so this must be true
I don't know if your bubby's ACOG info is going to support this, they tend to be a little slanted and often way overly cautious due to covering their behinds from a legal perspective. Check out ICAN, Midwifery Today, and put single layer closure vbac into yahoo. This should provide you with a good seleciton of information to go over. As far as seeking a better health care provider, I am all for it. It may seem daunting and frustrating, but finding someone you feel comfortable with is the key to geting the best birth possible. I ended up with my c/s for a number of reasons, but I knew part way through pregnancy that this OB was not the guy for me. I didn't do anything about it because I was young, didn't have ins. and didn't have a clue how to find midwives in a state where their practice is outlawed. This time around, (due 02/07) I've found a woman who is everything I could have ever wanted in a mw and we get along great. I've been nothing but happy and relaxed throughout this whole pregnancy and am confident that she will help me achieve the birth I really want. In this scalpel happy country, we really have to fight for our vbacs. Good luck!