When considering your post-cesarean birth options, it’s good to know what type of uterine incision you have. The only way to verify this is by getting a copy of your operative report from the hospital where you had your cesarean. I recommend bringing copies of your operative report when interviewing care providers as most will want to confirm your uterine incision type.
Sometimes women have a different incision on their skin than their uterus, so just because you have a low transverse (“bikini cut”) incision on your skin, doesn’t necessarily mean you have the same incision […]
Want to know if your doctor has been subject to a board hearing or disciplinary note?
Here is a link to the State Board sites for all 50 states.
Here is another response to the statement dated December 2007 from Hastings Indian Medical Center explaining why they no longer offer VBAC.
Wow is this article amazing for being published in the post-2004 “anti-VBAC per ACOG” era, by two MDs no less! If your OB gives you the third degree about VBAC, you might want to give him a copy of this article. The tide against VBAC might be turning!
Dated February 2008, not only does it openly and explicitly encourage VBAC, but it also:
declares VBAC as the “safest option” encourages efforts to “minimize the primary cesarean delivery rate” […]
A couple days ago, I posted the statement dated December 2007 from Hastings Indian Medical Center explaining why they no longer offer VBAC.
A midwife responded in the February 2008 edition of the same publication. Below find my favorite sections and below that is her entire piece.
Lisa Allee, CNM sums up ACOG and hospital VBAC policies so beautifully,
The change from pro-VBAC thinking to pro-repeat cesarean delivery occurred when ACOG came out with a recommendation (not a requirement) that physicians (doesn’t specify anesthesia) should be immediately available (no definition supplied).
Dr. Gahn, the author of Hastings’ statement, defended […]
I love reading why hospitals ban VBAC. There are opportunities to learn about how that particular hospital operates, specific insurance issues they face, internal politics, and personal philosophies. And it’s always interesting to see things from the OBs perspective.
It’s very telling that when they offered VBAC, only 2 women per year opted for VBAC after being “counseled by a physician.” Most women who have been “counseled by a physician” on VBAC vs repeat CS can tell you how that conversation goes. It typically leaves the woman with the impression that VBACs are dangerous and repeat cesareans are not. Women […]