VBAC Possibilities
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    Posting Addict RebeccaA'07's Avatar
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    Default VBAC Possibilities

    Hello! This board is kind of quiet...

    I had a emergency c-section with my daughter due to heart rate decels and cord issues. It was a neccessary surgery and it got her out safely. That being said, I still regret not being able to birth vaginally. I still think about it over a year later and that fear is leaking into my thoughts of a new pregnancy. I refuse to have an elective c-section. However, there is a tight ban in all hospitals in my area for VBAC's. I've contacted our local I-Can group and will be going to the meeting in a couple weeks. There are a few doctors that are more open to providing a VBAC but none of them openly support them.

    Sadly, my OB has already told me that I am not a good candidate. I still need to get the medical records so I can see what he's basing his opinion off of. The good news, I found another doctor who has done all of Michelle Duggar's VBAC's so I plan on seeing them for the new pregnancy (when it happens).

    Any other tips/tricks? How should I approach the conversation of a VBAC and not let them turn me down?
    ~Rebecca~

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    Posting Addict Spacers's Avatar
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    Definitely get your medical records! Your OB's "reasoning" may be simply that he doesn't want to do them. And I'd make a pre-conception appointment with that new OB soon, establish a rapport with him, and make sure you're in his client base in case he gets filled up before you get pregnant again. Another option is home birth. You mentioned Michelle Duggar, I think she has had a number of HBACs, not only hospital VBACs. Good luck to you! If you need help interpreting your medical records, let me know. I'm not a medical professional, but I've learned a lot from researching my own and I love helping others figure out what theirs really mean!
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    Super Poster bumblybees's Avatar
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    I would also find out your records. What kind of incision did you have? Did they double stitch it? Etc are all questions to ask.
    Also talk to you doctor a pre-appointment like the previous post suggested. Tell him/her that this is your plan and you want to have a trial of labor. if they're not akin to it, find another doctor.
    home birthing is another option
    talk with a birthing center to see if they'll take a VBAC. in the state of SC its illegal for birthing centers to take VBAC's and midwives are not allowed to deliever VBAC's either.
    I had an unwanted c/s with my first and after lots of research and talking with my doc about it he agreed to let me try a trial of labor, as long as i went into labor on my own before the end of my 40th week. He did strip my membranes but that's all he would do to help augment it.
    I worked with a doula. Highly recommend it. Utilized evening primrose oil gelcaps after 37 weeks.
    And got my VBAC.

    i wish you the best of luck. you'r body is designed to do this. Trust your instincts. Hugs!
    Gretchen

    DH since 2002

    Ethan - October 2006
    Isaac - July 2009

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    Posting Addict RebeccaA'07's Avatar
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    Thanks Ladies - I will request my medical records for sure. I don't really know much about the incision. I've actually been having complications (a year out) from the c-section and have to see the surgeon tomorrow to get a consult on fixing it all. Nice, right?

    I did find a OB in the area that supports VBAC's so I am going to make a consultation with him as soon as I get my records.

    I just hate that so many doctors are against it...but yet they are willing to cut you open again in a second.
    ~Rebecca~

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    Posting Addict RebeccaA'07's Avatar
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    Ok - I just wanted to updte. I met with my original OB who delivered my daughter today; I've been having some issues with the c-section and scar tissue. I specifcally told him that I refused to have an elective c-section unless the baby was at risk and I wanted to try a VBAC as I've reasearch and know the risks and possible complications.

    He told me, "You can't have a VBAC at any hospital in the area, they are banned." So I asked "They can't force me into a c-section can they?"...he answered "Yes or turn you away".

    That's not correct information is it? I thought hospitals HAD to serve any patient that came in. That is why they are there, correct? If I signed the waiver refusing a c-section, they would have no other choice but to deliver vaginally pending any complications?

    Ugh! This just ticks me off. Of course, I am still going to consult with the other doctor ASAP as he's willing to at least talk to be about the possibility of a VBAC.
    ~Rebecca~

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    Posting Addict Spacers's Avatar
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    You're kind of right... Hospitals *are* obligated under the federal Emergency Medical Treatment and Active Labor Act (EMTALA) to admit women who are in active labor and to abide by their treatment decisions until after the baby and placenta are delivered. But that doesn't mean they have to make it easy. Some hospitals claim that EMTALA only applies directly to hospitals with an emergency department, and to pregnant women who show up at an emergency department in active labor, and they claim that a woman showing up pre-registered in L&D therefore wouldn't be covered by EMTALA. Also, even though the vast majority of hospitals have adopted EMTALA as policy whether they "have to" or not, the failure to abide by it can only be enforced at hospitals that accept federal funding for Medicare or Medicaid, since EMTALA is part of the Health & Human Services regulations.

    Call your local VBAC-banning hospital and ask if they receive any federal funding for Medicare or Medicaid. If they do (more than 85% do) then file a Conditions of Participation grievance with the hospital's Chief Compliance Officer or the person who performs the equivalent function. Check the link below to the federal Code of Regulations, Sec. 482.13, Patients' Rights, and notice page 485, paragraph (2) states:
    The patient or his or her representative (as allowed under State law) has the right to make informed decisions regarding his or her care. The patient's rights include being informed of his or her health status, being involved in care planning and treatment, and being able to request or refuse treatment. This right must not be construed as a mechanism to demand the provision of treatment or services deemed medically unnecessary or inappropriate.
    http://edocket.access.gpo.gov/cfr_20...2cfr482.13.htm

    If your local VBAC-banning hospital doesn't accept federal funding, then you have a different fight on your hands. Even without EMTALA or the patients' rights outlined in the Conditions of Participation, you always have the legal right to refuse any medical treatment, including cesarean surgery. The doctrine of informed refusal has been upheld by common law, case law, Constitutional law, federal law, state law, state mandated medical ethics and the ethical guidelines of the American Medical Association (AMA) and the American College of Obstetricians and Gynecologists (ACOG). Any facility or care provider claiming that you must undergo a cesarean you wish to refuse is violating the governing principles of their respective institutions and professions, as well as the rule of law. Check your hospital's website to see if they have a "bill of patients' rights" posted, that will give you an idea of whether they follow the ethics of informed refusal. If they say you can't have a VBAC, ask how that fits in with their statement to support your right to informed refusal, in this case, your refusal of a repeat c-section? File a complaint with the hospital's ethics committee and with your state's department that licenses or reviews hospitals. They're going to say their insurance simply doesn't allow it. That's their problem, not yours! They are taking your money in exchange for providing you a service, make them earn their money by providing the service YOU WANT.

    So how do some hospitals get away with "banning" what should be the normal, natural physiological end to a healthy pregnancy? With forms. They ask you to willingly sign a form stating that you will consent to a repeat c-section, a form waiving your legal rights. Don't sign it. You can legally amend any document, cross out what you don't like, sign it, hopefully get a witness to verify it. Don't do it within 30 days of your EDD; take the forms home & fill them out & hold onto them until you're at term, or even in labor. If the hospital says you can't or won't be admitted without signing an unaltered consent form, sign it, get yourself admitted, and then hand your nurse a handwritten signed & dated & witnessed (by your DH and/or doula) statement saying something like, "I hereby withdraw all prior written consent. I do not at this time consent to any procedures or treatment. I will provide verbal consent as necessary for medically indicated procedures." Good luck!!!
    Last edited by Spacers; 06-17-2010 at 05:55 PM.
    David Letterman is retiring. Such great memories of watching him over the past thirty-two years!

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