Best provider for a VBAC, DC/Baltimore - Mothering Forums
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#1 of 6 Old 09-08-2013, 07:14 AM - Thread Starter
 
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(cross posted on the Birth Options Alliance listserve)

 

I would really appreciate opinions about VBAC providers in the DC/Baltimore metro area.  I am especially looking for someone who will be willing to work with a mother who is likely to go beyond 40 weeks (I was induced at 42 weeks with my previous, c-section birth, and my family has a history of  long gestations).  My husband would be more comfortable with a hospital setting as opposed to homebirth, and I have promised to at least consider his wishes :)
 
Right now I am considering the Family Health and Birth Center midwives (birthing at WHC) and the GW midwives, but I would be willing to travel to Special Beginnings or Bay Area Midwifery, or even to Kathy Slone's group at Mercy.  Basically, I am looking for my absolute best shot at having a VBAC, and I would so appreciate opinions.  Please feel free to PM me if you aren't comfortable discussing specific providers publicly
 
Thank you so much!
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#2 of 6 Old 09-08-2013, 12:32 PM
 
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Special Beginnings schedules a RCS at 39 weeks or something crazy.  I think Bay Area allows 42, but neither VBAC in the birth center, both need to be at the hospital.  I've heard lots of great stories out of Mercy.  With your drive I might consider a plan that included driving in early labor and getting a hotel room to labor in for a while.  

 

Good Luck!!  You might also want to see if you can get to an ICAN meeting, you might find out about some hidden gems closer to you!


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#3 of 6 Old 09-13-2013, 05:49 AM
 
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GW midwives are supposed to be great, and I know lots of people who have used them and loved them. They fill up fast, so if you're already pregnant you should sign up with them right away if you are even potentially interested. I'm not sure how long they would let you go overdue.

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#4 of 6 Old 09-14-2013, 12:20 PM
 
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New to the forum and would definitely recommend Wisdom Midwifery at GW. Probably one of the top VBAC providers in DC area. I did not have a VBAC and in fact did not deliver with them (well, I had an over-the-phone-midwife-attended birth!) because I had very fast labor and could not make it there in time.

 

My prenatal care with them was awesome, and they have more midwives now so it should be much easier to get in that in the past.  GL.

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#5 of 6 Old 09-15-2013, 05:56 PM
 
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I can't speak to VBAC, but I had a 42 week delivery with FHBC. I liked the midwives and pre-natal care I got but at 40+ weeks I was definitely feeling the pressure. I was scheduled for an induction at 42 weeks, and while the midwives helped me induce "naturally," it was extremely stressful and I still ended up with a CS. I definitely got the 'our hands are tied' line about their policies (whether the birth center's, Wash Hospital Center, or DC regulation wasn't always clear). I wouldn't personally chose to attempt a VBAC with them, but short of a home birth I really don't know what options there are locally that would have any different restrictions.

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#6 of 6 Old 09-15-2013, 06:16 PM
 
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I am planning on a VBAC with Midwifery Care Associates at Shady Grove Adventist Hospital. So far, they have been incredibly supportive of my having a VBAC. I asked them to adjust my EDD based on my history of a long menstrual cycle (averaging 33 days), and they did so. If they hadn't, my EDD would be a week earlier than it is, which would increase my likelihood of having an induction and other interventions if I went over. I was also told that induction isn't even discussed for a VBAC until the mom goes past 41 weeks (or if there are other complications that make an induction medically necessary, like placenta abrupta or membrane rupture with no contractions for 24 hours). Shady Grove does require constant fetal monitoring, but they do have telemetry available so you can move around and labor in the tub (they don't do water births, however). Even if the telemetry isn't available, they told me i would be able to get up and use the ball within 6 feet of the bed. MCA is under the umbrella of an OB practice, so they aren't completely autonomous, but so far, whenever I've asked a question regarding VBAC, the answers I've been given are along the lines of ACOG's and ACNM's latest recommended best practices for VBAC. Overall, I've felt very reassured that they will do as much as they can to help me successfully VBAC. I believe their successful VBAC rate is over 70%.

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