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Discussion Starter · #1 ·
I had my first prenatal today with the OB who did my c/s with my last baby (first c/s after 2 vaginal births) He was a preemie (32 weeks) and frank breech, thus the c/s I adore my OB, he's very sweet and excellent care.<br><br>
BUT, the hospital (a small, community hospital) doesn' allow VBACs anymore because of liability, so even though he says I am the perfect candidate for vbac, if I want to birth with him, I can't do a vbac. He said that really, my only option to find a doc who would do vbac around here is to go into Philly to one of the teaching hospitals, because none of the suburban hospitals will do it. I don't WANT to change docs, I like mine <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"> I don't WANT to go into the city, I've heard nothing but horror stories about birthing at the teaching hospitals. I just want to have my baby at the hospital where all my others were born, and have a normal vaginal birth. why does it seem like that's such an impossibel thing to do these days?!?!?!?!?!<br><br>
So, I'm left with either going to the city and being stressed that it'll be horrible, or staying at the hospital I like and scheduling a c/s, which I don't want to do. homebirth isn't an option, beucase my babies always come early (32-35 weeks) and two needed some breathing help right after birth, and one (the 32 weeker) was in NICU for 3 weeks.<br>
I just went from seriously happy newly preggo to seriously depressed preggo in about 2 hours. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad">
 

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Oh, Theresa, I'm so sad for you! I don't know what to say except that I want to cry with you.<br><br>
That's so great that you have an OB that you love. The only thing I can think of is to talk to other people in the area and see if maybe there some option that your OB doesn't know about...like some loophole or someone else who was an exception or something. I mean, no single person knows everything, so no matter how great your OB is, there is always the possibility of an option he hasn't heard about or thought of. Talk to lots of people and do a lot of digging for information. If you don't at least try, the answer is automatically no.<br><br>
Know that I'm rooting for you!<br><br>
PS When I saw this thread, I so hoped it was you responding to someone else. I really just want to cry with you. Hugs!
 

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Discussion Starter · #3 ·
Thanks, tana! I'm just so sorely dissapointed, i feel like someone's kicked me. I sort of had a feeling it was coming going into the appointment, I had hear rumors from friends that this particular hospital had changed their vbac policy to not allowing them. Apparently there was a VERy big ($28million) lawsuit against another community hospital here recently for a VBAC gone wrong, and after that, all the others pretty much shut down on vbacs. So, I can either stay with him and do the c/s (which I really don't want to do) or go hunting for a new doc that I can trust in the city. neither option is very appealing right now, but I'm leaning towards finding someone else becuase I just can't willingly put myself or my babe through a c/s if it's not medically neccessary.
 

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Yeah, well, I live in a state where homebirths cannot be legally attended by a midwife. In fact, if your dh catches the baby, it's a misdemeanor. Our options with giving birth are not what they should be, unfortunately. Perhaps someday when our daughters are giving birth, things will be different. One can only hope...
 

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<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"> what a hard desicion. I know with my next, I want to try for a VBAC again. So far, my babies just like to stay way up high in there, and not come out. I want to stay with my same OB again, as he is awesome, but I don't know if our hospital changed their policy or not either.<br><br>
I think you already know what you have to do. And who knows, maybe it will work out even better than you anticipate<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"> I hope it all works out! The hospital I delivered ds at is a teaching hospital and I am not crazy about it either. I would just do alot of research and know your rights, should you have to labor there.
 

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I'm so sorry Theresa!!! Good luck deciding...I think I'd go with the city hospital unless it's really icky there, but mostly bc I can't stand the idea of being cut open (for anything) LOL!! Maybe with a doula (or if your DH can be really mean to protect you) you might have an ok time there.
 

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Ugh!! What a terrible situation! It infuriates me that so many hospitals are banning VBAC. <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/hopmad.gif" style="border:0px solid;" title="hopping mad"><br><br>
It certainly can't hurt to meet with other care providers who deliver in the city. You can get recommendations from your doc, local midwives and doulas, AP/LLL groups in the area, and even the FYT area here at MDC. Hopefully you'll find someone that you can click with.<br><br><div style="margin:20px;margin-top:5px;">
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<div>Originally Posted by <strong>pageta</strong></div>
<div style="font-style:italic;">In fact, if your dh catches the baby, it's a misdemeanor.</div>
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You have GOT to be kidding me! That is the most backward thing I've ever heard! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hammer.gif" style="border:0px solid;" title="hammer">
 

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can you ask the dr. what would happen "hypethetically" speaking if you were to arrive crowning. baby would likely be born before the OR was prepped.<br><br>
I would go UC (and tried!) before attempting a hospital VBAC. i know you have issues with the other babes so that is not a likely choice.<br><br>
can you find a birthing center?
 

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Yeah, I would find out what would happen if you showed up and the baby was coming out already. Maybe labor in the parking lot or in a nearby hotel?
 

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Discussion Starter · #10 ·
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<div>Originally Posted by <strong>rainbowmoon</strong></div>
<div style="font-style:italic;">can you ask the dr. what would happen "hypethetically" speaking if you were to arrive crowning. baby would likely be born before the OR was prepped.<br><br>
I would go UC (and tried!) before attempting a hospital VBAC. i know you have issues with the other babes so that is not a likely choice.<br><br>
can you find a birthing center?</div>
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None of th ebirthing centers around here will touch me, #1 because they don't do vbacs, either and #2 becuase of my preterm issues. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"> I did just find out that the birth center in wilmington (where I went until 22 weeks with my last, when I got bumped to the OB becuase I was having preterm contractions and dilating) will do prenatals for me up to 30 weeks or so. But then what, LOL?!<br><br>
I guess it really all depends on when I go into labor. I already told DH, if this babe goes to term I am SO giving birth in our bathtub, LOL! but, realistically that's not something I can plan for. most likely it'll be my water breaking early and having to go in right away to see if we can stop labor for a good while.<br><br>
man, I would so love for this babe to be late, so I could birth at home!
 

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Discussion Starter · #11 ·
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<div>Originally Posted by <strong>pease</strong></div>
<div style="font-style:italic;">It certainly can't hurt to meet with other care providers who deliver in the city. You can get recommendations from your doc, local midwives and doulas, AP/LLL groups in the area, and even the FYT area here at MDC. Hopefully you'll find someone that you can click with.</div>
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I've been on the phone all afternoon with some midwife and doula friends, and they all pretty much said that this area sucks for vbacs. Philly has a reputation for ridiculously high litigation rates, and as a result malpractice rates are astronomical, so to get cheaper rates OBs agree not to do vbacs at all. The medical system is SO f&*(ed up!! :mad I've got my LLL playgroup tomorrow, but considering that I'm the group's leader and I have't a clue where to go, I'm not hopeful anyone else will, either, LOL!<br><br>
I think I might have one good possibility. I spoke with one of the midwives at the birth center in wilmington, and she said that their backup doc *might* be willing to do a vbac with me since I'm a good candidate and have had two successful vaginal births. I'm going to call him in the morning. He delivers at a hospital that is farther away that I'm exactly comfortable with (40 minutes without traffic, and well over an hour in traffic) but I think I'll take that trade-off if it means I can have the birth I want!
 

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<a href="http://www.ican-online.org/resources/white_papers/wp_vbacbanqa.pdf" target="_blank">http://www.ican-online.org/resources..._vbacbanqa.pdf</a><br><a href="http://www.ican-online.org/resources/white_papers/wp_vbacbantips.pdf" target="_blank">http://www.ican-online.org/resources...bacbantips.pdf</a><br><br>
Legally it would be assault for the hospital to do a c-section on you if you refuse. Though it has happened. Check out the links above. I would keep on with prenatals with the OB and just say that you are going to see another OB later or something like that. Then show up pushing. Or in labor but prepared to refuse the c/s. Thats a hard decision though.<br>
Allison
 

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Discussion Starter · #13 ·
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<div>Originally Posted by <strong>AllisonK</strong></div>
<div style="font-style:italic;"><a href="http://www.ican-online.org/resources/white_papers/wp_vbacbanqa.pdf" target="_blank">http://www.ican-online.org/resources..._vbacbanqa.pdf</a><br><a href="http://www.ican-online.org/resources/white_papers/wp_vbacbantips.pdf" target="_blank">http://www.ican-online.org/resources...bacbantips.pdf</a><br><br>
Legally it would be assault for the hospital to do a c-section on you if you refuse. Though it has happened. Check out the links above. I would keep on with prenatals with the OB and just say that you are going to see another OB later or something like that. Then show up pushing. Or in labor but prepared to refuse the c/s. Thats a hard decision though.<br>
Allison</div>
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Thanks, allison1 that's great info from ICAN. They don't have any chapters locally, I might just have to start one after all of this! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br><br>
I'm hopeful that the midwife-recommended doc will work out. I do feel fortunate that I have options - I know there are many women in small towns that only have one hospital and no options. So, while I'm down that I'm not getting what I initially planned, I know that it will all work out and I'll find a good situation.<br><br>
I do wish that I could jsut show up pushing, but with how my pregnancies usually progress, that's just not a feasible option because when labor starts we're usually desperate to try to stop it (even for a day or two) to let the babe bake longer (ah, the joys of preemies!)
 

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I am dealing with very similar issues. I found a team of OBs who are more or less supportive of my VBAC (the only ones even remotely in my area), but the only hospital they have privileges with no longer allows VBACs and is at least 45 minutes away. My plan at this point is to labor in a nearby hotel and then come in as late as possible and refuse the cesarean. It's not exactly the ideal labor situation, but I'm hopeful that my partner and my doula will be able to help keep the hassle away from me.<br><br>
I've had to face so many different challenges and change my plans so many times in the process of working toward this VBAC but the thing I keep reminding myself is that I can always say no. No matter how unfriendly the OBs, hospital, nurses, whoever, they can't force me to have a cesarean.<br><br>
Good luck to you, and I hope that the provider lead you have pans out!
 

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Any chance you could come to NJ for a vbac? Not sure where exactly you are but there are some good vbac midwives in the state. I know it would be a hike though.... I'm so sorry this is happening to you! I'm from the Philly burbs and I want to move back but not until we are finished with our family!!!
 

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Discussion Starter · #16 ·
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<div>Originally Posted by <strong>dlm194</strong></div>
<div style="font-style:italic;">Any chance you could come to NJ for a vbac? Not sure where exactly you are but there are some good vbac midwives in the state. I know it would be a hike though.... I'm so sorry this is happening to you! I'm from the Philly burbs and I want to move back but not until we are finished with our family!!!</div>
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yeah, I'd definitely consider it! the doc that the midwife suggested is in wilmington, delivers at christiana, and that's a good drive from me and I'm considering it, LOL! going across the bridge to NJ can't be any worse. I'd love to hear any suggestions you've got!!
 

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Or you could wait till you go into labor and show up and deliver. Once you are in active labor they have to abide by your wishes, whether or not VBAC is their policy. I cant remember the law right now but if you contact ICAN they will know.
 

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I'm in central NJ so I guess southern NJ would be closer to you. I'm not as familiar with midwives down there. I did find this though:<br><br><a href="http://www.birthlove.com/anti-vbac.html#nj" target="_blank">http://www.birthlove.com/anti-vbac.html#nj</a><br><div style="margin:20px;margin-top:5px;">
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<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">VBAC Friendly: Kennedy Hospital, Southern New Jersey, 5/23/03 -"This hospital is a "high risk" care center that has a true 10% cesarean rate. They do not do elective cesareans or inductions and a woman must prove why she should have a repeat cesarean rather than go for a vbac. My cousin is on a committee that looks over all birth records and calls doctors on the carpet to explain overly interventive births. The hospital has a breastfeeding promotion program that regularly works to improve rates of breastfeeding. They are looking into trying to get the CIMS Mother-Friendly designation as well. Seems like a good place to start for any. Central/South Jersey or Philadelphia area mothers wanting vbac or just natural birth in general since there are few if any birth centers in that area."</td>
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Not very current but hopefully the info is still true...<br><br>
I am looking into a midwife group in Pennington NJ, near Trenton and about 20 minutes north of Bucks County. Their office and hospital (Capital Health Systems in Mercer which has a level III NICU and is supposed to be midwife friendly) are an easy access from I-95 (just a couple exits into NJ- only about 30-40 minutes from center city Philly ). There is a post about vbac friendly midwives in the NY/NJ/PA tribe. Maybe you could post a question about Southern NJ? Good luck!!! I really hate to hear about this happening! I used to pass a birthing center on my way to Penn State Abington campus which I always though would be a wonderful place to birth and I don't think it even exists anymore!
 

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I just saw your post in the NJ tribe. Pennington is a good hour away. I know a lot a women do travel quite a bit for vbacs. I'm almost an hour away from them but I know I won't have a vbac with anyone closer.<br><br>
Here is a list of NJ midwives:<br><a href="http://www.newjerseymidwife.org/Practice.html" target="_blank">http://www.newjerseymidwife.org/Practice.html</a><br><br>
I wish I knew more about the midwives in Southern NJ but hopefully someone does!!!
 

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Discussion Starter · #20 ·
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<div>Originally Posted by <strong>MommytoTwo</strong></div>
<div style="font-style:italic;">Or you could wait till you go into labor and show up and deliver. Once you are in active labor they have to abide by your wishes, whether or not VBAC is their policy. I cant remember the law right now but if you contact ICAN they will know.</div>
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I've thought about that but realistically it's not an option since I always go early and then it's a race against the clock to get in soon enough to try to stall labor for a few days, even. If I go close enough to term that we wouldn't ry to stop labor, I'm have a homebirth! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/orngbiggrin.gif" style="border:0px solid;" title="orange big grin">
 
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