Join Date: Sep 2005
Location: Los Angeles, CA
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The UCLA Midwives claim to do VBACs. But they apparently aren't really trusted with them by the powers that be.
I wanted to abstain from the glucose challenge during my last pg, and instead just check my own blood sugar at home on the same protocol used for GD patients (reason being I knew I was at relatively high risk for GD, and thought that drinking sugar syrup was probably NOT what I should be doing). One of the midwives okayed this plan, but on the next visit, I was told they'd have to refer me out to an MD if I didn't do the challenge. Why? Because, since I was a VBAC, if things stalled out during my labor (again... last time I was induced, and this was also with the UCLA midwives), and they had to consult an MD about augmentation, then the MD would ask about my glucose challenge results (?), and when it was discovered I hadn't done one, the Chief of Medicine would come down on them.
This was the exact scenario presented to me during the 40-minute round-in-circles conversation my husband and I had with one of the CNMs, who was present for the first 12 hours of my previous birth. I verified with the head midwife that, if I declined the glucose challenge, I would be dropped from care, which she confirmed. I then switched to Dr. Dwight, who thought my plan sounded eminently reasonable.
So, if you want to do a VBAC with the midwives, you'll need to be willing to do EVERYTHING by the book, it seems... and my research leads me to believe that's no way to do a VBAC.