Older Posts

Write for VBAC Facts: Hospital VBAC Ban Reversals

how we reversed our vbac ban image

I’m so excited to announce a new series on VBAC ban reversals. My objective with this series is to show that hospitals do reverse their bans and to give other hospitals with existing bans a blueprint for how they can do the same.

So, if you work for a hospital that has reversed their VBAC ban and you would like to share your experience with other hospitals via vbacfacts.com, please contact me. Submissions can be anonymous and do not need to provide the hospital’s name.

Suggested points to address:

– Why was the ban initially put in place?
– Was it a formal or de facto ban?
– How long was the ban enforced?
– How did the following groups respond to the institution of the VBAC ban?
a) care providers at your hospital
b) other care providers in the community
c) other hospital administrators in the area
d) the community (women, families, etc.)
– Why did your hospital reverse the ban?
– What influence did the following have on this process:
a) anesthesia protocols/policies
b) 2010 ACOG VBAC Practice Bulletin
c) 2010 NIH VBAC Conference and resulting Final Statement
d) hospital’s malpractice insurance provider
e) community groups
– What did your hospital do, if anything, to prepare staff and care providers, from the top down, for the ban reversal?
– How quickly was the VBAC ban reversal implemented?
– How did the following groups respond to the reversal?
a) care providers at your hospital
b) other care providers in the community
c) other hospital administrators in the area
d) the community (women, families, etc.)
– What tips would you give to other hospitals who are considering reversing their bans?
– What do you wish you knew at the start of the process that you know now?

Any additional information that you can think of that would help another hospital through this transition would be welcome.

Readers, Do you have any ideas on additional questions to ask? What would you want to know about this process?

Here’s one hospital’s story:

Our hospital blamed it [the VBAC ban] on the liability insurance company. They would not cover the hospital for bad outcomes due to VBAC without in house anesthesia. We were able to get around it by only requiring anesthesia and OB in house during active labor which is now 6 cms. That made all the difference in the world. The average amount of time in house for anesthesia for the last year had been about 4 hours. We cannot use pitocin in our protocol and as a result try to avoid epidural and women who deliver usually do so quickly. Our success rate has been over 80% among those wanting to try. We encourage almost everyone with one previous cs to try. Not perfect but better than the 10 year ban we had!!!

Be Sociable, Share!

2 comments to Write for VBAC Facts: Hospital VBAC Ban Reversals