[Proverbs31]

I have heard that midwives in NY can't attend a VBAC homebirth, but can they attend one in a hospital?<br><br>
Thank you!

 

[Blucactus]

Um, they must be able to bc I am doing parallel care with a team of CNM's who work exclusively with a hospital. HTH.

 

[mighty-mama]

I lived in NY state... If memory serves me.. I think all homebirths are illegal.. In fact, I lived close to the VT border, and many who wanted to homebirth, were going over state lines.<br><br><br>
VBAC's are allowed in a hospital if the hospital has a full time anestiologist on staff. Not an on-call dr.

 

[wombatclay]

It's a bit complicated...<br><br>
Homebirth is legal in all 50 states. Attending a homebirth in an "official" capacity is not legal in all 50 states.<br><br>
In New York, a midwife can attend a home birth legally if she has an OB and a hospital that are willing to provide backup care. The problem is that in many areas of New York, there are no OB/Hospitals willing to take that "risk", and even fewer willing to take the "extra risk" of providing backup for a VBAC mother.<br><br>
The homebirth midwives in my community (upstate NY) can and do legally attend homebirth VBAC...but each one has a different set of requirements (like at least one vaginal birth after the prior c/s) based on what their backup providers will allow.<br><br>
The ACOG guidelines for VBAC were changed a few years ago to say that a hospital offering VBAC must provide "immediate" access to a cesearean...and most hospitals and insurance companies have taken this to mean a full OR team must be standing by ready to go for the duration of a VBAC birth. (the older wording required an OR team to be on-call but did not require that they be physically at the hospital ready to go). The change in wording meant that many smaller hospitals couldn't afford to offer VBAC (it costs a lot to have a team good to go for an unknown amount of time at the end of which they will probably not have been used) and it was an excellent "out" for hospitals that no longer wanted to offer VBAC.<br><br>
So IF a hospital "allows" VBAC, and IF that hospital also "allows" midwife care (different hospitals have different rules regarding who has the right to practice there) then yes...a midwife can attend a hospital VBAC in NYS. And IF a specific homebirth midwife has OB/Hospital backup and IF a mama fits into her specific VBAC criteria (as set by the midwife and her backup support) then yes...a midwife can attend an HBAC in NYS.<br><br>
But obviously...there are a lot of "ifs" in that statement!

 

[mighty-mama]

okay, thanks for clarifying me too<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol"> I was somewhat right<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol">

 

[Blucactus]

Or you could get sneaky one practicing outside of the law and do it at home. People do that too. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/winky.gif" style="border:0px solid;" title="Wink">

 

[Proverbs31]

Thanks everyone! I did find a midwife...hopefully she truly is as supportive as she says. I made it clear that I'm not "trying for a VBAC" but am going to birth like a normal, healthy woman should be "allowed" to. Some positives is that she is fine with letting me go up to 43 weeks before even considering induction (I went to 42.5 weeks with ds but never went into labor). My only disappointment is that she says I need to go to the hospital as soon as labor begins "so my c-section scar can be monitored for rupture" although she was on the ball with how slim the odds of rupture are. I really wanted to labor at home so no one could pull the "failure to progress" card with me...but I guess I'll just have to be adamant about continuing.<br><br>
As annoying as NY state is with their rules governing midwives, it actually kind of works out in a positive way because the only medical personnel in the room will be the midwife and the OB she works underneath; this way there won't be anyone to try and talk me into an epidural or be less than supportive.

 

[2Bmumof2]

how long ago was your last birth ?

 

[Proverbs31]

As of now, 27 months; so about 34 months by time I deliver

 

[2Bmumof2]

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<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>Proverbs31</strong> <a href="/community/forum/post/8299928"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">My only disappointment is that she says I need to go to the hospital as soon as labor begins "so my c-section scar can be monitored for rupture" although she was on the ball with how slim the odds of rupture are. .......................................<br><br>
As of now, 27 months; so about 34 months by time I deliver</div>
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Seriously......... I would labor at home as long as possible. She can't FORCE you to go in. I'd conveniently be HOURS away from my hospital.... lol..... or play the "I didn't realize I was in labor card" ok. so in some cases it's impossible to ignore......lol.. but I'd still do it! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol"><br><br>
I was 39 months from my c-section and nobody monitired my c-section scar! Maybe some medical professionals do... but nobody ever did mine while I was in labor.........

 

[Proverbs31]

See, that's what I was trying to figure out... I've been reading like crazy and none of the materials I've read said anything about going to the hospital right away being imperative. I'm actually kind of hoping for an unexpected HBAC<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/whistling.gif" style="border:0px solid;" title="whistle">

 

[mm72873]

I am having a vbac with a MW at a hospital.....with a doula as well.....the plan for all of us is to stay home as much as possible.......my midwife has even offered to come and check me to make sure I am dialated enough to go in....and that way less interventions will be given a chance to be offered...so most of the labor we will be home with doula.....and drive to hospital only when we are over say 4-5 cm.

 

[2Bmumof2]

<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>Proverbs31</strong> <a href="/community/forum/post/8303688"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">See, that's what I was trying to figure out... I've been reading like crazy and none of the materials I've read said anything about going to the hospital right away being imperative. I'm actually kind of hoping for an unexpected HBAC<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/whistling.gif" style="border:0px solid;" title="whistle"></div>
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<br>
Ha, ha...... I was hoping for an HBAC myself.............<br>
I have a girlfriend that had the most amazing UNPLANNED HBAC........ and she was my inspiration....... but I cracked and went to the hospital when I was about 4 cm's since my Doula was provided by the hospitals Doula Program and it was the only way I could gain access to her!<br><br>
Do you have a DOula? I have to say that is KEY! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/winky.gif" style="border:0px solid;" title="Wink">