labor nurse has been reborn and shares her experiences as a new nurse-midwife, woman, and blogger

Friday, February 20, 2009

VBACs- Where to get 'em

Want to know if you area hospital "bans" VBAC? Here is an awesome list from ICAN. Also poke around their site for more info on VBAC and the ridiculous things that hospital talking heads say why VBAC is "banned".

You can also submit info about VBACs at your hospital to ICAN, or if they missed one you can tell them.

10 comments:

Heather said...

Do you know if VBAC is banned at some of these hospitals because they don't have all it would take to adequately preserve the life of mother and child in the event of a uterine rupture during labor or delivery?

I haven't had a ceasarean, but I have had prior surgery that cut across my uterus in a way the elevates the risk of uterine rupture significantly (more so than ceasarean, actually). I have a great team of doctors overseeing my pregnancy now, and they haven't ruled out a vaginal delivery, but they are also very cautious. I want to have more children, and even if the risk for rupture is small, once it happens, that's all she wrote.

Anyways, now that I'm in the position of understanding the benefits vs. risks issues, I'm realizing that if I weren't in a place that had a great medical facility and practicioners, I might be very nervous about even trying a VBAC (or after surgery, as the case may be).

Mama K said...

I cold not get that link to work. I'd love that information. Can you check the link for me? Thanks. -K.

Ethel said...

THANK YOU!

Ethel said...

Okay, now why are their more (% wise) hospitals in my home state of Alaska willing to do VBACs then Oregon where I live now? I know the reason in AK for some of them, they're centers that can treat some things but do not have the medical staff (because of the size of the local population) to support VBACs all the time, but OREGON? Yeesh.

Labor Nurse said...

Heather, the main reason many hospitals "ban" VBAC is because ACOG has a statement that says VBAC must only be performed in a facility that can provide immediate surgical services- namely anesthesia. So this means hospitals must have an anesthesiologist in house at all times. Many hospitals are unwilling (or shall I say, anesthesia department) to have this type of coverage. Or it could be that the obstetricians don't want to do VBAC due to liability issues...however ICAN did get some ridiculous responses from the hospitals that they contacted that have nothing to do with either of these reasons. I didn't look at every single hospital listed, but some of the hospital reps would say they didn't do VBACs because they are "illegal" in the country!

As far as the link, it seems to be working fine but it does take a while for my computer to open. Perhaps this is the issue.

Haydensmommy said...

Thanks! Luckily for me both area hospitals are open to Vbac, which i am trying for in May! Love the info.

delilah said...

Thank you for calling attention to this issue! My local ICAN group is amazing and has really helped me heal-- not to mention helping me find a practitioner with whom to have a successful VBAC. I wish every pregnant woman knew about ICAN!

Matt said...

I wish I could find a similar list for my local area. Thanks for posting, though.. you've inspired me to hunt for a similar list for Canadian hospitals.

- Doula Matt

Abundant B'earth said...

I would take their chart/list with a hefty grain of salt. i clicked through to the comments for several local hospitals. the designation of "de facto ban" is based on ONE conversation with whomever the caller was able to reach on the phone. seemed to be OB nurses rather than, say, a charge nurse or the head of women's and children's services. could have been someone brand spanking new.

what i'm getting at is it seems very arbitrary whether a hospital was designated de facto ban or allows. 2 hospitals here had virtually identical details yet received different designations. Another nearby hospital received label of "de facto" when I know for a fact the only OB practice in that little town is totally on board with VBACs.

women are basing some pretty serious decisions on this hospital list. check your facts, everyone.

Our Little World said...

I had a VBA2C at a hospital in Phx and heard they are not wanting to do them. I had to fight and am still processing that experience!