Its better to remain silent and thought a fool then to speak out and
remove all doubt-Ben Franklin
At my hospital we deliver about 600 babies a year and still have 2 General Practitioners delivering. ACOGG has recently come out with new recomendations regarding VBAC's which states that a
physician able to perform a stat section be immed. available (in house) during the duration of the labor. We do not have anesthesia in house 24/7 but on call and expected to arrive within 10 mins of notification (ya right!). Anyway my question is how are other facilities handling this? Are smaller community hospitals doing VBAC's? If so do you have a policy and procedure that you could share. Its unfortunate but we are thinking of not attempting VBAC's because of this recommendation and the possible legalities involved.