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I heard something that I am SURE is incorrect, but I wanted to ask you OK ladies. My mother's friend's daughter-in-law (see, it's convoluted!) was told by her doctor that VBAC is illegal in OK, or so says my mom's friend. I suspect it's more that Dr's who do VBAC have trouble finding/can't get malpractice insurance. Please, please tell me that VBAC isn't illegal there (though how such a law would be enforced is a mystery to me...) Thanks!
 

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A friend of mine just a month ago delivered a healthy baby boy vaginally-in a hospital mind you. And she had a cesarean before. Sooooo it must be legal right? I think some doctors just refuse to do them though.
 

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This is how I understand it.

The problem is with the major malpractice insurance that the majority of Drs have, PLICO (Physicans Liability Insurance Company). That company will not cover the Dr if he/she does a VBAC. So even if you have a Dr who would support you 100%, he/she can't because of PLICO's rules. And most hospitals will not allow them either.

So while it's not illegal, it is very hard to find a Dr who will attend the birth. There are some but you have to search and know who to ask.

There is one hospital in OKC and at least one in Tulsa where you can have a VBAC. I'm in the Tulsa area and know of a few OBs who will do them.

You can read more:
http://search.atomz.com/search/?sp-q...a02-sp00000000

Or just google "Oklahoma VBAC".
 

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Yep, it's definitely legal, it's just hard finding doctors who will allow you to have one. OU Medical Center is the main hospital that allows it. I think that it's either St. John's or Hillcrest in Tulsa that also does them, I can't remember for sure.
 

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I was considering VBAC in OK (we moved before a second pregnancy)

You can have a VBAC but as said you have to search for someone who has insurance that will allow it. Many of those require you've had a least one vaginal birth.

I suggest contacting Natural Lullabies in Tulsa for a list - I know they keep tabs on everyone in the area who offers VBAC and where.

St. Francis South - the new facility at 169 designed a maternity area specifically for VBAC patients.
 

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Quote:
St. Francis South - the new facility at 169 designed a maternity area specifically for VBAC patients.
Interesting. I'll have to call them back and ask again. When I called to ask specifically about VBAC, a few weeks before their open house, I was told VBACs were not done there. She told me Associated Women's Specialists is practicing there (and Dr Larson will do VBAC at SouthCrest...Kim Kmita, CNM can't catch VBAC though...unless something has changed with that hospital policy in the last few months) however, SFS hospital policy was no VBAC.

I have a fairly updated list of care providers that are recommended. And of course, all three homebirth midwives take VBAC clients.

Recently I started a Tulsa C-Section and VBAC Support Group. You can find it here: http://www.cafemom.com/group/49829
 

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It is legal!! I am so tired of those people spreading that crap! Sorry about the neg tone, but I had people actually argue with me while I was preg that I could not have a vbac and it was not legal, even though I already had everything at the hospital lined up. OU med absolutely does vbac no prev vag birth required and I believe th other in the city is st anthony but I could be wrong, I just remember the news story last fall that one of the smaller hosp were going to start.

The way my dr explained it, if there is no surgeon on 24/7 (like at ou because its a teaching hosp) getting insurance to cover the drs is impossible. So all the other hosp just aren't willing to go to the expense of a 24/7 surgeon jik something goes wrong. Thats the way she explained it to me
 

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I had my daughter before we moved here and will have the next baby once we leave, so I haven't researched Oklahoma birth very much, but from what I understand talking to VBAC-planning friends, it's possible but very difficult.

A friend this week was told by her OB that no doctor in the city of Lawton will do one, but the hospital on Fort Sill will. That would come with its own issues, of course.
:
 

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Hi there. This will hit a few different questions/replies. Yes VBAC is legal in OK. PLICO is the major liability insurer for physicians in OK. They decided a couple of years ago not to cover VBACs. Different physician groups decided to change insurers so that they could continue to care for VBACs. So when you call a group and they say it is illegal, they are not being truthful. They want your business. MANY physicians decided not to change for the hassle and liability issues. The key to VBACing is being a good canidate for it. Ok, didn't me to go so far into that.

You can VBAC at Saint Francis South and Southcrest. Kim Kmita's backup doctor, Dr Harris takes VBACs. Kmita can take care of VBACs except they won't let her catch at this point. She is trying to get the hospitals to allow her to catch VBACs.
 

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Ok. I just called St. Francis South and spoke with a L/D nurse...again. First let me say that I'm not trying to discount info here or say anyone has false information, I'm just sharing what the L/D RNs at the hospital have told me.

I was told they do not do VBACs. They haven't done any up there to date.

I also asked about this:

Quote:
St. Francis South - the new facility at 169 designed a maternity area specifically for VBAC patients.
She immediately said, "No, that is not true."

I asked what doctors are working out of SFS and she told me:
- Assoc. Women's (this is Larson, Harris, Kmita, etc that will do VBACs at SouthCrest..well, the exception being of course that Kim isn't able to catch)

- Tulsa Women's Health Care (Dr Nilson)

- Dr Glick

- Dr Freeman

- Dr's Cox, Carnet (sp?), and Baldwin

So I'm not sure where people are hearing you can VBAC at SFS. *shrug* If someone has different information from a verified source, I'd be really interested to know more.
 

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Hi Heather. Call SFS and ask to talk to Janet the nurse manager for L & D. She told me that VBACs are allowed. Maybe the nurses don't think they can because they haven't had a VBAC there yet. It is probably because it is a new unit and they are trying to get all of the policies in place and not everyone is informed yet. ??? The way I'm looking at it (and I'm sure you would agree!)... the more places allowing VBACs the better. I also don't think you are going to find anywhere in OK that a unit will be built for VBACs specifically. There isn't enough support for VBACs unfortunately! Yeah for the docs that do.
 

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I will do that. I'd really like to get a straight answer from someone up there.

So who's catching them? From the list I was given, it looks like the Assoc. Women's docs are the only ones that are doing VBACs in town.

Quote:
The way I'm looking at it (and I'm sure you would agree!)... the more places allowing VBACs the better.
I agree. However, you also have to consider who the care providers are as well. Someone may be doing VBACs but not be giving the best care. So even if you have more options, they may not be the best options.
 

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To my knowledge providers for VBACs in Tulsa are:
AWS- OBs Harris, Larson, Howerton, Kmita CNM (Prenatal care not catching)
Meyers- Family Practice who does OB. Meyers works with Dr Nicol who may do them also???
Sanders- OB. I had heard that she may quit doing because the provider has to be on campus for VBACs while in labor, which cuts into her office, but should call to confirm if she made that decision.
Ross- FP Not 100% if he is doing them, heard that he may be. He is working on getting his section privileges may have them by now.

Also like I said on the previous message. I would call and talk to the nurse manager Janet at SFS. I was told it is up to the provider whether to VBAC or not.

Hope this helps.
 

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All of the homebirth midwives accept HBAC clients.

Dr Duninick at Family Medical Care will do VBACs. His back-up if a c/s is needed is either Myers or Aikmen.

I called Ross' office several weeks ago and was told he will, but needs to meet with the patient first.

I did call SFS back and spoke to Janet. That's what I did before posting earlier.


Just curious...are you a doula in the area?
 

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Couple of questions for you Heather... Where does Dr Duninick deliver? Haven't ever heard of him? HBAC (home birth after cs???). How are the midwives covered on vbacs (insurance and do they have a backup doc in case cs needed?). I'm not a doula, just a mama.
 
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