Mothering Forum banner
1 - 20 of 21 Posts

·
Registered
Joined
·
11 Posts
Discussion Starter · #1 ·
I'm hoping there is someone out there who can help me. I was referred here by a friend from another parenting board. I went to my OB/Gyn last night for my first prenatal visit. It didn't go at all as I expected. I had a c-section 18 months ago with my first child because my induction failed. Since then, I have been determined to have a VBAC with our next child. When I went to my doctor yesterday, she told me that they are no longer doing VBAC's at St. Joe's in Paterson. I'm devasted. I feel so cheated out of the birth experience I wanted with my son and now she's telling me I can't have that opportunity with this baby.<br><br>
Does anyone know of any VBAc friendly doctor or midwives in Northern NJ as well as a VBAC friendly hopsital, hopefully Hackensack Medical Center or St. barnabas?
 

·
Registered
Joined
·
391 Posts
Hi, first of all, don't give up. I don't know how much leeway you have in selecting a hospital for insurance etc etc but I am very surprised that St. Joe's is not doing VBAC's. I would call their Labor and Delivery unit and just ask one of the nurses there if they do VBAC's. Tell them you just moved from Ohio, you are looking for a VBAC friendly OB, blah blah blah. This will give you the answer. Maybe YOUR doctor doesn't do VBAC's. KWIM ?<br><br>
I am pretty sure that Englewood Hospital is VBAC friendly. They used to have a birth center in Englewood associated with the hospital and I know they have midwives practicing there, etc etc. The birth center is closed now (recently due to increased malpractice insurance premiums) but they would be most likely VBAC friendly. I have a friend who is a L&D nurse at Valley, she just had her own c-section and was very disgruntled with the care she received there by her OB, and in her training there (4 years ago) she has been indoctrinated with "birth is a medical condition" and this is her latest quote "the only safe birth is a c-section, too much can go wrong in a vaginal delivery". Ummm, okay. And she came out and told me she would have refused to be my nurse for my VBAC. That's nice to hear. Also, I heard through the grapevine that St. Barnabas is like a "McBaby" hospital. Your birth, THEIR way. Plus, you have to share a post partum room.<br><br>
I had my VBAC at Monmouth Medical Center in Long Branch. Exit 105, Garden State Parkway. It was a great experience, the hospital is very granola tolerant, and I wasn't required to even have an IV inserted. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/yikes.gif" style="border:0px solid;" title="EEK!"> They've actually had a few waterbirths there too. Only a 20 minute strip and every hour monitoring. I also had midwives as my primary providers. I had a say in everything, and I would mortgage my house to have them help me birth my next child, I feel so confident in their care. I would follow my midwife to Florida.<br><br>
I think your best bet is going to be by finding the underground up there. Look in the yellow pages for doulas, or for midwives. Go see them. You don't have to become a midwife patient if you don't want, but you can "interview" them and find out the climate in your area, where is the best place to go. I took a bradley Childbirth class and it was an eye opener. Who knows, maybe one of the smaller hospitals is more VBAC tolerant. Or maybe Hackensack. You can call the Childbirth educators at the hospital and ask them too. But don't rely on your doctor for honest information, at least I wouldn't.<br><br>
Please contact me if you need more info. So far, I don't think NJ has gone the way of the smaller states. HMC and St. B both have residency programs and anesthesia on site, which is the ACOG requirement for VBAC in case of emergency. Hate to say it, but you might even check out UMDNJ University Hospital in Newark but they HAVE a midwifery program there and I'm sure they would be doing VBAC's. I know they are level I Trauma as is HMC so there is always anesthesia. But its probably not the nicest place.<br><br>
HTH
 

·
Registered
Joined
·
11 Posts
Discussion Starter · #3 ·
Julie,<br>
Thank you so much for your reply. You've given me a lot of infromation that looks like it should be helpful. I never thought about asking one of the DR nurses. I will also check out UMDNJ and your other suggestions.<br><br>
Thank you, again!
 

·
Registered
Joined
·
2 Posts
Hi Jersey Girl.<br><br>
I see that you posted a while back, so this info may be coming to you too late in the game, but for what it's worth...<br><br>
I am also from North Jersey. I thankfully had 2 vaginal births, mostly thanks to the excellent care I recieved from my midwives. The way my labors went, I would have had c/secs if I had remained with my original OB.<br><br>
If I become pregnant again, one of the first questions I will ask prospective midwives or OBs is "Do you support VBACs?",; second, "WHat is your VBAC success rate?" - even though I am not a VBAC candidate. I feel that the answer will tell me whether that person runs their practice based on research (20 years of data support VBAC) or fear of litigation.<br><br>
That being said, I've posted a few names of NJ midwives and doulas (Doulas get the inside scoop on what hospitals/which doctors are VBAC-friendly).<br><br>
If this is what you really want, PLEASE DON'T GIVE UP!<br><br><br>
Good Luck to you in your quest!<br><br>
Kelly in NJ<br><br><br>
The Childbirth Center<br>
201-567-0810<br>
Lonnie Morris, CNM<br>
This is the Freestanding Birth Center mentioned in the previous response to your post. Sadly, they don't do births there, but the midwives do their exams there and deliver in at least 2 local hospitals -<br><br>
Holy Name Hospital in Teaneck and Pascack Valley Hospital in Westwood.<br><br>
Also try:<br><a href="http://www.avalonmidwives.com" target="_blank">www.avalonmidwives.com</a><br><a href="http://www.midwivesofdenville.com" target="_blank">www.midwivesofdenville.com</a><br>
ww.imamidwives.com<br><a href="http://www.completewomanmidwifery.com" target="_blank">www.completewomanmidwifery.com</a><br><a href="http://www.villagemidwives.com" target="_blank">www.villagemidwives.com</a><br><br>
some doulas:<br><a href="http://www.seventhmoon.net" target="_blank">www.seventhmoon.net</a><br>
(Vicky Headley, SUsan Esserman)<br><a href="http://www.doulamomma.com" target="_blank">www.doulamomma.com</a><br><a href="http://www.loveslabor.net" target="_blank">www.loveslabor.net</a><br><br><br><br><br><br><br><br>
St. Barnabas has a 43% c/sec rate, so I would avoid that place (!)
 

·
Registered
Joined
·
2,413 Posts
Hi..<br><br>
I found this oooold thread..<br><br>
Anyone know if Pascack Valley has changed.. I've found an article saying they are very VBAC friendly..<br><br>
The article listed Lonnie Morris as the head CNM. From what this article said, Pascack is one of the highest VBAC success hospitals..<br><br>
I'm willing to drive the 50miles if this is true...
 

·
Registered
Joined
·
1,085 Posts
The most vbac friendly hospitals in NJ (based on their vbac rates)are:<br><br>
KIMBALL MEDICA36.67<br>
UMDNJ/UNIVERSI25.66<br>
TRINITAS HOSPI21.61<br>
MONMOUTH MEDIC20.05<br>
CAPITAL HEALTH19.02<br>
COOPER HOSPITA18.03<br>
PASCACK VALLEY17.78<br><br>
I calculated vbac rates as #vbacs/#prior c-section mothers
 

·
Registered
Joined
·
2,413 Posts
<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>dlm194</strong> <a href="/community/forum/post/8250380"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">The most vbac friendly hospitals in NJ (based on their vbac rates)are:<br><br>
KIMBALL MEDICA36.67<br>
UMDNJ/UNIVERSI25.66<br>
TRINITAS HOSPI21.61<br>
MONMOUTH MEDIC20.05<br>
CAPITAL HEALTH19.02<br>
COOPER HOSPITA18.03<br>
PASCACK VALLEY17.78<br><br>
I calculated vbac rates as #vbacs/#prior c-section mothers</div>
</td>
</tr></table></div>
Ugh, the closest is Pascack, and I just called and they don't accept my insurance..<img alt="" class="inlineimg" src="/img/vbsmilies/smilies/gloomy.gif" style="border:0px solid;" title="Gloomy">:<br><br>
I'm gonna google the others and see if I can do it.. Thanks.
 

·
Registered
Joined
·
1,085 Posts
I got the vbac rates (and c-section rates) from the chapter leader of ICAN of Morris County. She gets them from the Center for Health Statistics. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br><br>
Morristown Hospital's vbac rate is 10.70% (the national average is around 9%). Their c-s rate is 37.3%
 

·
Registered
Joined
·
11 Posts
Discussion Starter · #10 ·
LOL! Wow! This is a blast from the past! I ended up using West Essex OB/GYN associates, they have offices in verona and livingston. I VBAC'ed my second son on May 25, 2004 at 41 weeks, he weighed 10 lbs 4 oz. I VBAC'ed out third son on September 11, 2006 at 40 weeks 2 days, 9 lbs 12 oz. Both were delivered at St. Barnanbas in Lvingsston which does not haev any MW's. While St. Barnabas does still allow VBAC's, West Essex OB GYN stopped doing them right after I gave birth because their malpractice company threatened to drop them if they continued doing VBAC's. They also forced them to automatically section ALL multiples. It's sickening.<br>
Dr. (Claudine) Sylvester left the group and now practices in Montclair. I think she might still do VBAC's. Hoep that helps.
 

·
Registered
Joined
·
2,413 Posts
<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>JerseyGirl</strong> <a href="/community/forum/post/8251922"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">LOL! Wow! This is a blast from the past! I ended up using West Essex OB/GYN associates, they have offices in verona and livingston. I VBAC'ed my second son on May 25, 2004 at 41 weeks, he weighed 10 lbs 4 oz. I VBAC'ed out third son on September 11, 2006 at 40 weeks 2 days, 9 lbs 12 oz. Both were delivered at St. Barnanbas in Lvingsston which does not haev any MW's. While St. Barnabas does still allow VBAC's, West Essex OB GYN stopped doing them right after I gave birth because their malpractice company threatened to drop them if they continued doing VBAC's. They also forced them to automatically section ALL multiples. It's sickening.<br>
Dr. (Claudine) Sylvester left the group and now practices in Montclair. I think she might still do VBAC's. Hoep that helps.</div>
</td>
</tr></table></div>
<br>
Thanks for starting this thread Jersey Girl.. Man, I'm a little conflicted I'd go the St. Barnabus route as I'm in Morris County myself, but I wonder how gong ho they are about VBAC's now. I'm kinda bummed as my insurance doesn't cover Pascack..<br><br>
Okay if Morristown's VBAC rate is 10.70 compared to the national 9. Should I consider moving into another hospital? The only one that is semi-close is Trinitas, with a rate of 21.61? I guess I can see Trinitas's VBAC rate and make that decision.
 

·
Registered
Joined
·
11 Posts
Discussion Starter · #12 ·
Where in Morris County are you? I just remembered that there are MW's at St. Clare's in Denville who do VBAC's. I'd call the midwifery department and talk to them. I'd also call the mother child floor at St. Barnabas and ask them which docs still do VBAC's.
 

·
Registered
Joined
·
1,085 Posts
I'm guessing most doctors at St Barnabas' are being covered under that malpratice insurance that forbids vbacs. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/irked.gif" style="border:0px solid;" title="irked">: I know a woman that works there and called pretty much every doctor that delivers there. Only West Essex Ob/Gyn and a group of Dr. Kaufman, Ciciola, & David were doing vbacs. Sounds like Est Essex is out now. She said they would not take her as a transfer patient anyway. I think St. Barnabas is going to be a lot of dead ends.<br><br>
Last time I spoke to CNM Marla Scott (via email) who delivers at St Clares, she was doing vbacs. She is practicing with doctors now. I'd definitely give her a call or send her an email. She's actually on this site too!<br><br>
The most important thing is to find a supportive provider. The hospital is important in the sense that they may be more or less geared toward encouraging natural birth.<br><br>
I'd also suggest going on ICAN's website <a href="http://www.ican-online.org" target="_blank">www.ican-online.org</a> and giving the Morris County Chapter leader a call. She would probably have an opinion.<br><br>
I'm going to be traveling an hour for a vbac. There are probably at least 10 hospitals closer but I found midwives that I am comfortable with so I think it's worth it. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

·
Registered
Joined
·
2,413 Posts
<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>dlm194</strong> <a href="/community/forum/post/8255656"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">I'm guessing most doctors at St Barnabas' are being covered under that malpratice insurance that forbids vbacs. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/irked.gif" style="border:0px solid;" title="irked">: I know a woman that works there and called pretty much every doctor that delivers there. Only West Essex Ob/Gyn and a group of Dr. Kaufman, Ciciola, & David were doing vbacs. Sounds like Est Essex is out now. She said they would not take her as a transfer patient anyway. I think St. Barnabas is going to be a lot of dead ends.<br><br>
Last time I spoke to CNM Marla Scott (via email) who delivers at St Clares, she was doing vbacs. She is practicing with doctors now. I'd definitely give her a call or send her an email. She's actually on this site too!<br><br>
The most important thing is to find a supportive provider. The hospital is important in the sense that they may be more or less geared toward encouraging natural birth.<br><br>
I'd also suggest going on ICAN's website <a href="http://www.ican-online.org" target="_blank">www.ican-online.org</a> and giving the Morris County Chapter leader a call. She would probably have an opinion.<br><br>
I'm going to be traveling an hour for a vbac. There are probably at least 10 hospitals closer but I found midwives that I am comfortable with so I think it's worth it. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"></div>
</td>
</tr></table></div>
<br>
Oh, great.. Well I found an awesome group, out of Morristown called One to One Female Care, but they don't take my crappy HMO Medicaid..<br><br>
I did find one group out of St. Clare's Denville called With Woman of Morris, I'm waiting for a call back, the midwife is Shari Conte..<br><br>
But I'm happy you recommended Marla Scott, as my friend just mentioned her, and from their website, it looks like they take my insurance...<br><br>
And, I was also thinking that it's the provider and not the hospital that if you had to pick out of importance. I'm going to called Marla's office. **I actually meet the one ob/gyn and I liked him. So maybe that will work..
 

·
Registered
Joined
·
1,085 Posts
I've heard good things about St Clares so hopefully that will work out!!<br><br>
There is also a midwife group at Hunterdon Medical Center in Flemington that does vbacs. I don't know much about them personally but I know someone who used them and was quite happy. I think they are called All Women's Health Care or something. I don't know about their insurance situation but that could be a another option.
 

·
Registered
Joined
·
2,413 Posts
<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>JerseyGirl</strong> <a href="/community/forum/post/8253728"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Where in Morris County are you? I just remembered that there are MW's at St. Clare's in Denville who do VBAC's. I'd call the midwifery department and talk to them. I'd also call the mother child floor at St. Barnabas and ask them which docs still do VBAC's.</div>
</td>
</tr></table></div>
I'm in Mt.Olive... I looked in St. Clare's.. none of the midwives or ob's for that matter are covered....
 

·
Registered
Joined
·
2 Posts
Hi. we just moved to west orange NJ and just found out that we are prego again. Yesterday we tried a new doctor out and it went well until i told her that my daughter was delivered c-secion because she was breech and its extremelly important to me to vbac, obviously is my second is not breech again. she basically told me that st barnabas does not insure for vbacs anymore but she would try to see if they will take an exception. i almost bursted into tears when she told me this. I had a really difficult time with it the first time and just want that opportunity to have natural once. i'm totally freaked. i just stumbled onto this page when i was searching for info on vbacs in nj and found it to be so helpful. thank you to everyone. to the girl who posted the orignial message what was your outcome?? did you find a doc that will support vbac????
 

·
Premium Member
Joined
·
8,105 Posts
Please do check out your tribal area:<br><br><a href="http://www.mothering.com/discussions/forumdisplay.php?f=82" target="_blank">http://www.mothering.com/discussions...splay.php?f=82</a><br><br>
I am sure that there are women there who can give recommendations, as well!
 

·
Registered
Joined
·
11 Posts
Discussion Starter · #19 ·
<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>jennifer297</strong> <a href="/community/forum/post/10224800"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Hi. we just moved to west orange NJ and just found out that we are prego again. Yesterday we tried a new doctor out and it went well until i told her that my daughter was delivered c-secion because she was breech and its extremelly important to me to vbac, obviously is my second is not breech again. she basically told me that st barnabas does not insure for vbacs anymore but she would try to see if they will take an exception. i almost bursted into tears when she told me this. I had a really difficult time with it the first time and just want that opportunity to have natural once. i'm totally freaked. i just stumbled onto this page when i was searching for info on vbacs in nj and found it to be so helpful. thank you to everyone. to the girl who posted the orignial message what was your outcome?? did you find a doc that will support vbac????</div>
</td>
</tr></table></div>
I'm so soory, I know how awful that feels. Yes, I did find a great group and tw successful VBAC's of two very large babies. Sadly, the malpractice insurance companies in NJ are really clamping down on the OB's in NJ and making it impossible for them to VBAC patients unless the patient has already had a successful VBAC. When I was pregnant with my third, my OB told me their malpractice company was forcing them to sign a statement that they would no longer do VBAC's or allow multiple pregnancies to attempt vaginal deliveries. IF they didn't sign, they would be dropped. Lovely, huh?<br><br>
I have heard through a nurse who works at St. Barnabaas that Claudine Sylverster, her office is in Montclair, still VBAC's, she was my OB through both VBAC pregnancies but was not presentt at either birth. I have also heard that Some of the OB's and midwives at St. Clare's in Denville and Morristown Memorial still VBAC. I would call the maternity floor at both hospitals for ask for names.<br><br>
Good luck!
 

·
Registered
Joined
·
6 Posts
Jennifer in West Orange:<br><br>
I am also a Jennifer in West Orange. I attempted my VBAC with Tina Alessi at One to One Female care in Morristown. However, if I had to do it over again I might have travelled the distance and gone with Lonnie Morris out of The Childbirth Center in Englewood. Tina does have a high success rate for VBAC (I was her only failed attempt that year), so I would recommend her too, but there are limits on her VBAC patients (constant fetal monitoring and the need for progress every 2 hours during active labor). I am acutally trying to find someone who will VBA2C (a much more challenging task despite the risks not being that much more.)<br><br>
There is a great VBAC support group out of maplewood. Send an email to <a href="mailto:[email protected]">[email protected]</a> for more info. Good luck!
 
1 - 20 of 21 Posts
Top