DH and I are starting to think about conceiving #3, but I would like to find a VBA2C friendly provider first. I have heard good things about Dr. Garfinkel, Dr. Banks, and Dr. Parchment. I'm wondering if any mom's can share their experiences (good or bad) with any of these doctors. Thanks!
A friend of mine had a lovely VBAC (after 1C) with Dr. Parchment. She has nothing but good things to say about her, and about Mountainside hospital.
SAHM to 6.5yo DS and 4yo DD. PCOS with two early m/cs. Married 8 yrs. Certified birth doula, writer, editor.
Some stuff I like:
It is definitely hard to find a doc who would be pro VBAC with two prior C/S as the risk of rupture goes up with each prior C/S and that ACOG recs are not really decisive about whether it this is a safe cadidate, but not impossible. But make sure you are at a hospital with 24hr anesthesia and an OB in house in case of emergency (just FYI...Mountainside does not)
Dr Banks said she would be willing to support me in a VBA2C. I did have a vaginal birth though so that might have something to do with it. However, she is a nice woman and I would definitely suggest interviewing her.
ACOG's latest recommendations so suggest that women with 2 c-sections be considered for VBAC. They also lifted their recommendations about immediate accessibility of anesthesia. http://www.acog.org/About%20ACOG/News%20Room/News%20Releases/2010/Ob%20Gyns%20Issue%20Less%20Restrictive%20VBAC%20Guidelines.aspx
Latest research shows that the risk of uterine rupture in a VBAC after more than 1 c-section is not significantly higher than in VBA1C. Every pregnant woman has potential risks during labor and childbirth. Every woman with broke membranes has a risk of cord prolapse or severe fetal distress. Somehow hospital manage to handle it. If a hospital is not safe to VBAC in, it's not safe to birth in at all.
I had a wonderful VBAC experience with Dr parchment. I had several "risk factors," and transferred to her care at 37 weeks and she didn't bat an eyelash. Please PM me if you'd like specifics. But definitely a strong recommendation from me.
David Garfinkel did my VBAC (but my HB midwife was there also). He's good, if a little twitchy, I really felt like my midwife and I were in charge though, and he just did the glory bit. I have recommended him to other people.