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 typical pregnant woman who trusts her OB is, it’s almost impossible to meet the standard they require and, one way or another, you end up with a another surgery.
- if your baby is less than X pounds
- if you consent to an IV
- if you consent to an epidural
- if you consent to continuous external, or internal, fetal monitoring
- if you stay in bed the whole time
- if you come to the hospital as soon as labor begins
- if you have the baby within X hours of labor starting
- if you have the baby within X hours of your water breaking
- if you agree to have a cesarean scheduled at X weeks “just in case” you don’t go into labor
- if you agree to be induced at X weeks
- if you go into labor by X weeks and if you don’t, you agree to have another cesarean or be induced
- it goes on, and on, and on…
2b. Or they tell you that they are supportive, but as your due date gets closer, they start focusing more and more on the risks of VBAC. Of course, they minimize, or don’t even mention, the risks of having a repeat cesarean. It eventually becomes clear to you that they will find some excuse either during your labor, or before labor begins, to give you a cesarean. At which point, how can you trust their medical opinion? But, they have strung you along for so long – usually this starts in the last couple months of your pregnancy – that you feel stuck and you think that it’s too late to find another provider. Sometimes it is, and sometimes it isn’t. It never hurts to check out other providers, regardless of how far along you are. When you have a provider like this, what do you have to lose?
What do you think?
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What do you think? Leave a comment.
Jen Kamel is the founder of VBAC Facts, an educational, training and consulting firm. As a nationally recognized VBAC strategist and consumer advocate, she has been invited to present Grand Rounds at a hospital, served as an expert witness in a legal proceeding, and has traveled the country educating hundreds of professionals and highly motivated parents. Even more have accessed her trainings online. She speaks at national conferences and has worked as a legislative consultant in various states focusing on midwifery legislation and regulations. She has testified multiple times in front of the California Medical Board and legislative committees on the importance of VBAC access and is the Secretary for the California Association of Midwives and the California Association of Licensed Midwives. Her favorite flavor of ice cream is peanut butter chocolate. And mint chip. And coffee.