VBAC In Las Vegas

I haven't heard of Dr. Dalley, but I will be 40 weeks on Monday and am attempting a VBAC. I started out with an OB and a mid-wife thinking I'd at least have an OB on hand in case I "needed" one. Eventually, I decided a home birth was my best option for a successful VBAC and a few weeks ago got rid of my OB altogether. Listening to all the scare tactics and one-sided information was disheartening to say the least and getting that once a week was starting to become insulting. Our bodies were built for this!!! Why can't they see that?
From what I understand, the hospitals will have you monitored the entire time (I asked my doctor about alternative laboring options like a tub and his exact words were, "no - you will need to give birth on your back, in a bed, on dry land"), the OB has to be on site the entire time (which is incredibly inconvenient for them and made very clear to me) and you will be treated as "high-risk". I could just imagine the doctor standing outside the door waiting for the perfect opportunity to rush me into an operating room. Although my OB "supported" VBACs I did not believe for one second that he actually believed it was going to happen for me. I was told I was an automatic induction (so, probably c-section) at 41 weeks.
I visited a Perinatologist at Summerlin a few weeks ago who was awesome and supportive and is willing to take me if an emergency arises during my birth. I feel 100% good about what I am about to go through and that is the best way to go into it. Make sure you have a good feeling about your OB and nothing but support around you -- you are going to need it because around here I have found a VBAC is not looked on as "normal". If you have a hospital birth I highly, highly recommend having a doula with you -- because like previous posters mentioned, you never know what kind of nurse you will have. It's really nice to have that support. Granted, I had one my last birth and still ended up with a cesarean, but sometimes they really are necessary. :( There are two places that I know of in the valley where you can find more information: Well Rounded Momma near Henderson, and Pink Peas over on the west side. I would check those out, as well as the International Cesarean Awareness Network (ICAN) website for information and local meetings.
Good luck to you!!

I haven't had a VBAC but have questioned my doctor about one should I get pregnant again. One thing she said was that if I did have one to be prepared to pay for an anesthesiologist for the duration of labor because one is required to be there for the whole labor just in case. Make sure your insurance will cover that. Perhaps she was just trying to scare me, but I would double check to make sure. =)

I don't have experience with VBAC because my 3 children were too large (9 + pounders) and I have had 3 c-sections, but I delivered my youngest child at Summerlin Hospital in May 2009. I have to say that it was my best delivery experience out of Valley, Mountain View, and Summerlin. It does depend on what nurse you have but that goes for any hospital. My son was born at 38 weeks and had severe breathing issues so was put in NICU to be monitored. This was very hard for me, I was glad he was getting the needed help but I was an emotional wreck seeing him hooked up to monitors and tubes and being stuck in my room alone (my husband had to be home with our other 2 children). I had several caring, helpful and understanding nurses and doctors. Once I was able to get up and moving the nurses helped me get back and forth to NICU to see my baby. The quality of care was outstanding. I have nothing bad to say about delivering there, I cannot say the same for the other 2 hospitals.

Good for you for attempting a VBAC!

I know this does not answer your question entirely, but I had planned to attempt a VBAC last September with Dr. Steven Harter, but decided at the last minute to schedule a repeat C-section. Dr. Harter explained that allowing me to go into labor on my own decreased my chances of a succesful VBAC because if he happened to not be on call or available, it was very unlikely that any other doctor would attend a VBAC. (I'm sure you've realized that there aren't many docs here who will agree that VBACs are safe.) For this reason, I would have had to be induced at 39 weeks and monitored closely for the entirety of labor.

Regarding Summerlin Hospital, I had my first child there in September of 2007. I found that the quality of nurses was inconsistent; I had a few that were great, and more that were just awful. Summerlin is a very busy hospital, but the benefit for many physicians is that their offices are connected to the hospital, and they can get there very quickly. Is this the case for you? If so, your doctor being very close could certainly be a benefit for you.

I wish you the best of luck with your birth!

I never had a vbac but Dr. Dalley was my doc and she delievred both my children. 13 years ago and almost 10 years ago. She is the best. I would use her again if I had another baby even though she is not on my insurance. I would call her office and she would come to the phone if she was not busy.