why the anti-VBAC stance in hospitals?

Specialties Ob/Gyn

Published

I'm 10 wks prego and had a c-section with my 1st. I very much want to have a VBAC but am told by the doctors that the hospitals won't allow it. is there anything I can do to avoid a c-section (short of a home delivery--just kidding) and still have a hospital delivery (yes, I understand the uterine rupture risk)

What would you nurses do in my shoes?

any help understanding this bureaucratical B.S. and how to get around it would be great!

thanks

Originally posted by mother/babyRN

The only uterine ruptures I have seen so far have not been on vbacs, but that is just the roll of the dice...

You mean spontaneous ruptures?How often does that happen?I won't just go *BANG* one day will I???? I really need something else to worry about as I head for c-section#3 in September!;)

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the only ruptures i seen other than VBAC's involved the use of pit.

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I've only seen one rupture and it was a VBAC on pit. That study that showed the huge risk of rupture with VBAC also found that the pitocin is what made the risk skyrocket.

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Specializes in ER,Neurology, Endocrinology, Pulmonology.

I did some more research in the last week and the more i read the more i worry about VBAC. I am for natural everything, but this is seriously starting to worry me. Seems like the risk of a C-sec to mother and the baby are much, much less then the risks involved with VBAC.

now i have THIS to worry about on top of work, nursing school and taking care of family. lol my head is going to expload

So far, I decided to have a C-section if 1) if no baby at 38 weeks 2) if any kind of induction method is indicated

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Specializes in cardiac, diabetes, OB/GYN.

Uterine rupture is rare but it does occur...Obviously increasing risk factors increases the risk....In 14 years of delivery, I have seen it happen twice....Once spontaneously while the patient was in labor and having good contractions ( without pit). It was later discovered that she had a genetic thinning of the uterine wall...Second one was a person on pit.....Good outcomes for both, thank goodness. Symptoms were quickly identified...

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