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Interview with Dr. Fischbein: An Inside Look at Hospitals and VBAC Bans

Q: Don’t hospitals ban VBAC because it is dangerous? A: They ban VBACs under the guise of patient safety. But patient safety is a euphemism for “we don’t have a good evidence-based reason to do it, other than we don’t want to get sued, it’s more expedient, and we make more money from c-sections—the hospital does, not necessarily the physician, but the hospital does—so we’re going to ban it because it’s easier for us, and we’re going to say it’s for patient safety because of the risk of rupturing the uterus.” […]

Want a VBAC? Ask your care provider these questions.

Ask Questions 3d button

While there are care providers who may mislead you about your risks, benefits, and options, this article is written assuming that you are meeting with an ethical care provider who supports the option of VBAC.  Read more on how to find a providers like this.

If you are a good candidate for VBAC, the single most important decision you can make that will have the greatest impact on your chances of VBAC success is who you hire to attend your birth.   This is why it’s important to interview several care providers and ask specific questions.

You will often […]

The Three Types of Care Providers Amongst OBs and Midwives

Care providers, OBs and midwives, can be broken down into three categories:

1. The ones who tell you outright they don’t to VBACs.  While this is annoying, it is more honorable than the second type of care provider because at least they don’t…

2a. … tell you they are supportive, but then put so many qualifications on their support that it’s almost impossible to have a successful VBAC with them.  I call this a “circus act VBAC.”  They want you to think that if you just jump through all these hoops, you will VBAC.  But what you don’t know as […]

A Midwife Responds to the Hastings Indian Medical Center VBAC Ban

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 […]

Finding a VBAC Supportive OB or Midwife


There are a ton of resources to find a good, truly VBAC supportive, OB or midwife. If you know of any others, please leave a comment with the info!

The VBAC Facts Community The Birth Survey ICAN email support group Birth After Cesarean email support group Your local ICAN chapter The ICAN Professional Subscribers list VBAC Meetup Groups Mothering.com VBAC Forum AP Doctor Referral yahoogroup The Big Push for Midwives – Resources by State Your local La Leche League chapter Your local Holistic Moms chapter Attachment parenting groups Extended breastfeeding groups Local homeschooling groups Find a VBAC supportive hospital RateMDs.com […]