Comments on: Interview with Dr. Fischbein – An Inside Look at Hospitals & VBAC Bans http://vbacfacts.com/2009/09/08/interview-with-dr-fischbein-an-inside-look-at-hospitals-vbac-bans/?utm_source=rss&utm_medium=rss&utm_campaign=interview-with-dr-fischbein-an-inside-look-at-hospitals-vbac-bans Vaginal birth after cesarean? Don't freak, know the facts. Mon, 21 May 2012 06:08:41 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: Jen Kamel http://vbacfacts.com/2009/09/08/interview-with-dr-fischbein-an-inside-look-at-hospitals-vbac-bans/comment-page-1/#comment-74313 Jen Kamel Mon, 02 Apr 2012 16:21:44 +0000 http://vbacfacts.com/2009/09/08/interview-with-dr-fischbein-an-inside-look-at-hospitals-vbac-bans/#comment-74313 Kris, Yes, women have had successful VBACs in de facto ban hospitals, but it is certainly not the ideal situation. (Read <a href="http://vbacfacts.com/2012/01/23/mom-encounters-vbac-ban-request-advice/" rel="nofollow">this article</a> that lists options and strategies for women facing VBAC bans.) Women have been forced/coerced to have cesareans against their will. While being <a href="http://advocatesforpregnantwomen.org/articles/forced_c-section.htm" rel="nofollow">physically forced</a> is rare, many more women are <a href="http://vbacfacts.com/category/vbac/scare-tactics/" rel="nofollow">coerced</a>. (Read more about a women who was <a href="http://vbacfacts.com/2012/03/02/options-mom-forced-repeat-cs/" title="Options for mom who will be “forced” to have a repeat cesarean" rel="nofollow">threatened with a forced cesarean</a>.) Have you talked to all your OBs in town and within a reasonable distance to your town? How about Family Practice doctor? As finding a VBAC supportive care provider is the #1 thing you can do to have a successful VBAC, make sure that you exhaust all local options before considering traveling 6 hours. (I'm sorry to be so literal with the obvious! :) ) Get a copy of your <a href="http://vbacfacts.com/2008/06/09/the-cost-of-getting-your-medical-records/" rel="nofollow">medical records & operative report</a> from your first CS, <a href="http://vbacfacts.com/2008/03/08/finding-a-vbac-supportive-ob-or-midwife/" rel="nofollow">get the names</a> of VBAC supportive providers, and ask the right <a href="http://vbacfacts.com/2009/06/06/interviewing-care-providers-questions-to-ask/" rel="nofollow">questions</a>. Read more about <a href="http://vbacfacts.com/2009/01/15/im-pregnant-and-want-a-vbac-what-do-i-do/" rel="nofollow">planning a VBAC</a>. Hope this helps! Jen Kris,

Yes, women have had successful VBACs in de facto ban hospitals, but it is certainly not the ideal situation. (Read this article that lists options and strategies for women facing VBAC bans.) Women have been forced/coerced to have cesareans against their will. While being physically forced is rare, many more women are coerced. (Read more about a women who was threatened with a forced cesarean.)

Have you talked to all your OBs in town and within a reasonable distance to your town? How about Family Practice doctor? As finding a VBAC supportive care provider is the #1 thing you can do to have a successful VBAC, make sure that you exhaust all local options before considering traveling 6 hours. (I’m sorry to be so literal with the obvious! :) ) Get a copy of your medical records & operative report from your first CS, get the names of VBAC supportive providers, and ask the right questions. Read more about planning a VBAC.

Hope this helps!

Jen

]]> By: kris http://vbacfacts.com/2009/09/08/interview-with-dr-fischbein-an-inside-look-at-hospitals-vbac-bans/comment-page-1/#comment-72812 kris Mon, 19 Mar 2012 22:28:59 +0000 http://vbacfacts.com/2009/09/08/interview-with-dr-fischbein-an-inside-look-at-hospitals-vbac-bans/#comment-72812 So am I correct in my understanding from this article that it is possible to have a vbac in a hospital that has the De Facto ban? My son had his neck bent so did not come out they did not try to reposition him but rather preformed a c section. I feel completely cheated hewas a month premature and weighed less than my other two children who were delivered vaginaly. Now all the Dr.s in that town say that I will have to travel 6 hours away to have a vbac. I plan to try to get pregnant and giving birth about 18months apart. And am seriously tempted to continue using my normal ob dr. and hospital but refusing a repeat section. Any sujestions? So am I correct in my understanding from this article that it is possible to have a vbac in a hospital that has the De Facto ban? My son had his neck bent so did not come out they did not try to reposition him but rather preformed a c section. I feel completely cheated hewas a month premature and weighed less than my other two children who were delivered vaginaly. Now all the Dr.s in that town say that I will have to travel 6 hours away to have a vbac. I plan to try to get pregnant and giving birth about 18months apart. And am seriously tempted to continue using my normal ob dr. and hospital but refusing a repeat section. Any sujestions?

]]> By: Madison http://vbacfacts.com/2009/09/08/interview-with-dr-fischbein-an-inside-look-at-hospitals-vbac-bans/comment-page-1/#comment-5939 Madison Wed, 09 Sep 2009 19:31:50 +0000 http://vbacfacts.com/2009/09/08/interview-with-dr-fischbein-an-inside-look-at-hospitals-vbac-bans/#comment-5939 Hi Karla, Your Dr sounds like my previous one. I had to drop him because he was so obviously skewed when he declared me a repeat c-section candidate. He said that the exact reason for which I had my first c-section (fetal distress) would happen with my current pregnancy. He was so focused on his advocacy for repeat c-section that he neglected to talk about the risks and benefits of both rcs and VBAC. He said "no vbac, and no doulas", no matter what. I asked for my file, and found some unpleasant additions to my information. My new Dr has a "lets see what your body can do" approach. Hi Karla, Your Dr sounds like my previous one. I had to drop him because he was so obviously skewed when he declared me a repeat c-section candidate. He said that the exact reason for which I had my first c-section (fetal distress) would happen with my current pregnancy. He was so focused on his advocacy for repeat c-section that he neglected to talk about the risks and benefits of both rcs and VBAC. He said “no vbac, and no doulas”, no matter what. I asked for my file, and found some unpleasant additions to my information. My new Dr has a “lets see what your body can do” approach.

]]> By: Janice http://vbacfacts.com/2009/09/08/interview-with-dr-fischbein-an-inside-look-at-hospitals-vbac-bans/comment-page-1/#comment-5938 Janice Wed, 09 Sep 2009 17:13:07 +0000 http://vbacfacts.com/2009/09/08/interview-with-dr-fischbein-an-inside-look-at-hospitals-vbac-bans/#comment-5938 You need to find a different doctor or midwife! Good luck!! Don't listen to him unless he has a *Good* reason. Sounds like he doesn't. I had a similar experience with my VBAC doctors. You need to find a different doctor or midwife!
Good luck!! Don’t listen to him unless he has a *Good* reason. Sounds like he doesn’t. I had a similar experience with my VBAC doctors.

]]> By: Karla http://vbacfacts.com/2009/09/08/interview-with-dr-fischbein-an-inside-look-at-hospitals-vbac-bans/comment-page-1/#comment-5884 Karla Tue, 08 Sep 2009 22:20:05 +0000 http://vbacfacts.com/2009/09/08/interview-with-dr-fischbein-an-inside-look-at-hospitals-vbac-bans/#comment-5884 Today I had a dr. appt. where I was called "Selfish" and told by the dr. that he was "appalled that I would risk the life of my baby" to have a VBAC (in the past, I've had a section, a VBAC, and a section). He tells me that if he is on call when I come into the hospital in labor he will see me, but if he is not on call, he will NOT get up at 3 in the morning to deliver this baby. His excuse for counseling me to have a section is uterine rupture. When I quote a 1-7% rupture rate, he says it is 10%. Today I refused a second time to have a section, much to his appallment, and discovered that he has put in my file that my baby is breech when that is not true at all. Last week's ultrasound indicated that the baby was head down, and seeing how he did no abdominal exam or ultrasound at today's appt., there is no way he can say this baby is breech except to have it in my file as the "reasoning" behind why he is counseling me to a section. Today I had a dr. appt. where I was called “Selfish” and told by the dr. that he was “appalled that I would risk the life of my baby” to have a VBAC (in the past, I’ve had a section, a VBAC, and a section). He tells me that if he is on call when I come into the hospital in labor he will see me, but if he is not on call, he will NOT get up at 3 in the morning to deliver this baby. His excuse for counseling me to have a section is uterine rupture. When I quote a 1-7% rupture rate, he says it is 10%. Today I refused a second time to have a section, much to his appallment, and discovered that he has put in my file that my baby is breech when that is not true at all. Last week’s ultrasound indicated that the baby was head down, and seeing how he did no abdominal exam or ultrasound at today’s appt., there is no way he can say this baby is breech except to have it in my file as the “reasoning” behind why he is counseling me to a section.

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