No more VBACs

Specialties Ob/Gyn

Published

our ob unit has just stopped doing vbacs. now all previous c-sections will be repeats and those showing up in labor (unless precipping in the bed) will be stat sections.

apparently anesthesia is tired of having to stay in house for them and the obs are, too. they were constantly grumbling among themselves... but she's your patient, you told her you'd do the vbac, not me... yada, yada, yada... :nono:

if doc's did more to prevent the primary c-section, this wouldn't be so bad - but with all the social inductions and sections for ftp (aka. failure to be patient) and cpd (aka. couldn't produce a real diagnosis), the future for lady partsl birth around here looks grim. :o

where are the feminists when you need them. :chair:

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We've not done VBAC's for years - since the recommendation came out. I think it is trending the other way now but we still don't do them.

steph

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we're a little more relaxed around here. we've got a couple of docs that do vag twins. i've even seen one do a vag breech. perfectly fine if you know what you're doing.

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we're a little more relaxed around here. we've got a couple of docs that do vag twins. i've even seen one do a vag breech. perfectly fine if you know what you're doing.

we are a little rural hospital 70 miles from an nicu. i'd rather not. :D

we do about 100 deliveries a year. our cesarean rate is way below national average. obviously not doing high-risk has something to do with that.

we've done twin lady partsl deliveries but they are rare.

steph

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Specializes in LDRP.

Ina Gaskin is freaking out reading this right now!

I personally had a failed VBAC in 1999. I was really surprised to learn in nursing school that had I been under the same circumstances today, I wouldn't have "qualified" to try for a VBAC under the new recommendations.

Of course now that I am a repeat c-section, I don't get anymore tries, and honestly I am ok with that--I am just really happy about my healthy babies--they could have been delivered through my nose and I'd be thrilled!

I was really happy at the time that I tried, tho'! ;)

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#1. PCS - Failure to Progress and fetal distress - stat - 8-15 oz, apgars 9/9.

#2. RCS - failed VBAC, again FTP 8-10oz - discovered an appendiceal carcinoid tumor during the section.

#3. Successful VBAC - SROM greater than 24 hrs, pit augment 14 hours, 7-11oz.

#4. Successful VBAC - pit augment 10 hours, 6-13oz.

#1 I agree with, #2 I question - had a midwife who had to leave for a meeting and 30 minutes later the attending had me in the OR - imagine that. BUT, if it wasn't for the section, they never would have found the tumor.

#3 & #4 were both CNM deliveries. I see a theme.

We do VBACs quite frequently and with very good success. Of course, we know the post-dates, gestational diabetics that had PCS for 12 lb baby - we know they will probably be RCS - but they too even surprise us.

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Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

How very sad. Have seen quite a few successful and joyful VBAC. Glad our place still offers them.

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As long as certain criteria apply our docs will happily do vbacs and we generally have good success rates. Then again we also have a dr. that will do breech deliveries under certain conditions.

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Specializes in Hospital OB/GYN.

Luckily our hospital still allows them since I just had my second VBAC in 09/2006.

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We are a rural hospital and we still do VBAC's.

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Specializes in LDRP.

we do vbac's. heck, we've had a vbac labor and delivery lady partslly 10 months after her c/sec, which some might consider too soon of a gap.

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That's sad. The C-section rate here is so much higher than necessary, and I just don't know why so many people believe having a baby surgically is safer than doing it the way that it was meant to be done by nature.

I had a c-section with baby #1- CPD, my little darling weighed in at 10 lbs, 9oz. so after 14 hr of trying, the cesarean was inevitable. When I was pregnant again, my OB here really tried to talk me out of the VBAC (she said with CPD, chances are less than 50% that the vbac will be successful). well, i tried anyway, and i had Baby #2 naturally, within two hours, without any pain meds. She was alot smaller, though (7lbs 12oz). It was the best experience ever and it finally helped me make peace with the cesarean birth of my first daughter.

In my home country, 70% of women who have a cesarean have successful vbacs with their next child. Over here, its only 9%. The risk of a uterine rupture is

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