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There was an interesting and depressing article about the reluctance of hospitals to assist women in vaginal birth after c-section (VBAC) in today's New York Times. Here's the link, good for the rest of this week:<br><br><a href="http://www.nytimes.com/2004/11/29/health/29birth.html?8hpib=&oref=login&pagewanted=all&position=" target="_blank">http://www.nytimes.com/2004/11/29/he...=all&position=</a><br><br>
I will get a more permanent link later.<br><br>
They quote someone from ICAN. The doctors' quotes are really interesting though! They are really scared of uterine rupture even though they know that it's relatively rare.<br><br>
Here's one doctor quote from the article:<br><br><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;">Dr. Schipper said he had been a proponent of VBAC, but felt differently after three women at Frederick had major complications within the past three years. Two had severe blood loss, and one needed a hysterectomy. The hospital banned the procedure.<br><br>
As for his own patients, Dr. Schipper said: "I can't think of any who had major issues. By and large, the feeling was, 'Great, I don't have to make a decision, go ahead and do the C-section, I was agonizing about it anyway and who am I as a lay person to go against what you think?' "</td>
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Yeesh! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/irked.gif" style="border:0px solid;" title="irked">:<br><br>
Here's another doc, unfortunately buried at the end of the article:<br><br><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;">Dr. Cherouny of the University of Vermont said that not all women who had had Caesareans faced the same amount of risk from trying to deliver vaginally. <span>(editorial snip for length)</span> Drugs commonly used to induce labor also markedly increase the risk of rupture, studies have found.<br>
Dr. Cherouny said some women were so determined to avoid a Caesarean that they delayed coming into the hospital until they were in advanced labor, leaving doctors little choice but to deliver the baby.<br>
"I'm not going to chain them down and do a C-section," he said, adding that courts rarely force women to have Caesareans.<br>
For that reason, he said, he and his colleagues tell hospitals: "You must be ready. Even if you don't want to do VBAC's, you will. The patients will make you."</td>
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Maybe it's the journalist's decisions about what to quote, but don't these doctors sound awful? Poor doctors, forced by unruly patients to assist them in delivering their babies instead of doing c-sections. This article said that some hospitals are refusing VBAC patients who have already delivered vaginally since their sections!<br><br>
Crazy stuff.
 

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I read this article with dismay and deep unease. I'm planning a home VBAC right now (newly amidst concerns that my DP's doctor planted in his head) and articles like these make the environment seem more hostile all the time. This year all but one group of doctors in our town stopped doing VBACs completely. Right now I'm faced with having to inform and comfort the people around me about uterine rupture risks and the like, meanwhile information like the quotes in this article (the passage about the catastrophic things the one doc saw in the past three years) seeps into my head, undermining my confidence ....<br><br>
Why did so little of the positive VBAC data have to be presented in this article? Women talking about the healing experience of post-cesarian vaginal birth - juxtaposed against the c-section experience prior - and more emphasis placed on the higher order of risks connected with major abdominal surgery? I would be afraid to risk the anaesthesia alone, not to mention the greater potential for infection, the possible problems with bonding and bf'ing, etc. etc. etc. This article was so disappointing.
 
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