VBAC Dilemma

Updated on June 22, 2008
J.H. asks from Redondo Beach, CA
10 answers

I was wondering if anyone can refer me to an OB or midwife in the SouthBay that is willing to preform a VBAC? I really want a VBAC but unfortunatly my current OB/GYN is scheduling me for a planned c-section. He's considered a high risk doctor so he's going to push for the c-section.

My first birth was a planned C-section (sort of not really by choice) my son decided to turn breech one week before his actual due date.

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So What Happened?

Yaeeee!!! I had a successful VBAC at Cedars. I switched doctors at 20 wks. My second doctor was great Dr. David Ghozland (http://www.davidghozland.com/). He was very honest and open with me on the possible outcomes even if it meant another c-section. Gave birth to a healthy little girl Jan 27th. I had a natural tear and went 7 1/2 cm before I said "give me the damn epidural."

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C.L.

answers from Los Angeles on

Hi J.,

I see that you got a recommendation for some people in the South Bay. Great. I just wanted to wholeheartedly encourage you to go through with the vbac and do everything you can to make that happen!

When I was pregnant with my first son, I was subjected to all the usual tests. When I questioned procedure I was made to feel a nuisance. When I refused an amniocentesis you'd have thought I'd committed some sort of unheard of crime. Three doctors came in to question me and attempted to make me feel I was a bad parent before my child was even born. My then husband and I had to go to UCLA, see a film and again be questioned by doctors. I was 42 years old and my husband 51. They said I was high risk and that there was a 1 in 26 chance that my baby would be born with downs syndrome or the like. I said "Well I guess I'll be one of the other 25." I told them it was a spiritual issue for me, I already loved my unborn baby and if it were to have special needs, then I would be a special needs parent. I had done a lot of research and found that the statistics of losing the baby after an amniocentesis was the real risk that know one seems to talk about.

I didn't mind giving my liquids for tests but didn't want to be injected with anything. When I refused a TB test, they flatly said that if I didn't take the test I couldn't have my baby at UCLA. My reply was "Well I guess I won't be having my baby at UCLA".

Instead I went to Good Samaritan. I suppose I was getting standard good care throughout the pregnancy by the doctor and "midwife", though I felt it constantly invasive. When I asked the midwife about what she thought of the book "Spiritual Midwifery" she'd never even heard of it. I told everyone I wanted to have as natural a childbirth as possible, but that fell on deaf ears and they proceeded to lose my birth plan.

I asked why the drastic increase in C-sections in the last few years other than it being a money making scheme by the insurance/medical/pharmaceutical industry. They played dumb and blew me off.

My doctor had told me at check up that I wouldn't be having the baby for another week because he had not descended. Anyway, later that same evening my water broke without any contractions. They immediately wanted to induce labor and I held them up for 36 hours and then they forced pitocin on me. 14 hours of heavy contractions due to pitocin with no dilation. Of course that effected the baby's heartbeat and an hour before my doctor's shift ended, he gave me a c-section. I was terribly disappointed but my joy at seeing my son overrode everything. He was perfect.

I was living in London for my second son's birth. I only ever met midwives every few weeks in a very comfortable casual setting. Completely non invasive and they just took it for granted that most women would be giving birth in the comfort of their own home unless like me they were at high risk because of age or prior c-section. They honored my decision to have a vbac at the hospital without giving me any scare tactics. It was the most wonderful empowering experience of my life.

I only met a doctor for a minute and it was a tiny older Nigerian woman who was my midwife. She really knew what she was doing. It was just my husband, the midwife and me. While I did opt for an epidural, everything else about it was natural and beautiful. I highly recommend the experience. All the very best to you and your family.

2 moms found this helpful

P.G.

answers from Los Angeles on

Hi J.,

Hurray for considering a VBAC! I know of a few midwives in the South Bay. I am a doula and teach pregnancy yoga in the Southbay. I have a client who is going to try a VBAC Homebirth and her midwife is going to be Davi Kaur. Another midwife who would do VBACs is Marrylou O'Brien.

Have you been on the ICAN website? Lots of good information there. Also consider hiring a doula as it will increase your chances for a successful outcome.

By the way, a doula friend and I have started the West LA Chapter of ICAN! We are excited to provide support, share resources and information to mothers recovering from cesareans and preparing for VBAC. website is www.westlaican.com

Please let me know if you are interested in a doula and good luck on your upcoming Labor of Love!

P.
http://www.serenitybirth.com
###-###-####

2 moms found this helpful
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M.P.

answers from Los Angeles on

Hi J.,
I don't know exactly a OB/GYN in the South Bay area, but I have 2 locations in the LA area that will do VBAC's. The sencond choice would be a little closer to you.

1)Dr. Mark Dwight* & Dr. Margaret Bates
Good Samaritan
###-###-####
637 S. Lucas Ave., Ste. 200
Los Angeles, 90017

2)UCLA Midwifery Associates*
200 Medical Plaza, Ste. 430
Los Angeles, 90095
###-###-####
• Accept most forms of insurance, including Medi-CAL

I just called the UCLA midwives and they informed me that 5% of their deliveries are VBAC's with a 79%-80% success rate.

I hope this helps and good luck!

M.

2 moms found this helpful
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M.S.

answers from Los Angeles on

Hi J. H!
Check out these websites:

http://www.ican-online.org/
www.vbac.com

I had a successful VBAC, and so happy I didn't give into the naysayers! Educate yourself about your options, and happy pushing!

M.
Marc

1 mom found this helpful
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V.M.

answers from Los Angeles on

I had a C-Sec for my little girl and would never consider a VBAC. There is too much risk involved, I would ask yourself why you want this badly enough to put yourself in a situation where there is more risk for you and your new baby. If you weigh it out and still think that it's the best decision for you then I wish you luck and happiness, but if you feel like doing this because somehow you've "missed out" on something, you may want to reconsider.

http://www.parenting.com/article/Pregnancy/Labor/Owning-Y...

Read it, it may help you come to terms with the c-section you had before, which may make it easier to consider it again.

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M.C.

answers from Los Angeles on

Hi J.,

My friend had a VBAC earlier this year in the South Bay, but it was at Kaiser in Harbor City. At Kaiser, you see an OB/GYN all throughout your pregnancy, but when it's time to have the baby, you get whoever's on call at the hospital. Torrance Memorial doesn't allow VBACs and Little Company of Mary will only allow it if your doctor is willing to be there the whole time. Most doctors can't or won't.

I have another friend that lives in the South Bay and had a VBAC last year, but she had to go all the way to Cedars Sinai.

I'm currently debating which way I want to go myself, with my next baby. My son was sunny-side up and I wouldn't dilate past 7cm, but my water had already broken, so they had to go in and get him. My recovery wasn't as bad as I thought it'd be, so I know I could handle another c-section. I just feel kinda disappointed for not delivering him the ol' fashioned way. Plus, I wouldn't mind a shorter recover period. I suggest you fully weigh out your options.

My best to you!
M.

UPDATE: Sorry this took so long. Here's the doctor that delivered my friend's daughter via VBAC at Cedar Sinai:

Dr. Tony Chin
###-###-####

His office is near Cedar Sinai in BH.

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E.C.

answers from Los Angeles on

Hi J.,

I had an unsuccessful VBAC last November - which resulted in another C-section, and honestly I wished I'd just gone with the C-section because when I held the baby and looked at her I realized - it didn't matter how she got here - she's here!

The reason I wanted a VBAC though was because I didn't want the c-sections to limit my family size...most doctors say no more than 4 sections. Not that I'd have more than 4 kids, but I just didn't want that to be a limiting factor. So, I labored for 12 hours, and didn't progress, baby went into slight distress, and into the operating room I went.

I'd just go with the c-section if I were you. Get your toes done the day before and enjoy having your photo taken with your 3-second old baby with perfect hair and makeup!

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M.W.

answers from Los Angeles on

J.,

My friend had a VBAC with her second child and her uterus ruptured. She had a great doctor and survived but is now having her 3 child with a surrogate because she cannot carry another child. She would have 100 C-Sections to be able to carry another child. This isn't to scare you, just know and weigh the risks before you make your decision.

M.

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A.M.

answers from Los Angeles on

Hey J.,
I to am pregnant and my first was an unplanned c-section. I am all for the c-section. But my Dr and I were talking about a VVAC and she informed me that the hospitals will no longer allow them because they are not covered by malpractice insurance, so to cover themselves, they just do not allow them. It is a hospital decision, not the Dr. Now that is at Torrance Memorial and Little Company. So maybe you should look into it with your Dr and hospital if it is even an option.

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S.C.

answers from Los Angeles on

In my childbirthing class at Torrance Memorial, we were told that VBAC's were difficult to have done in the South Bay as all of the hospitals require your doctor to be at the hospital for the entire labor (not just in the final moments to deliver as usual) given the high risk of tearing to the old VBAC stitches. Hospitals require a doctor to be ready to do an immediate c-section if tearing occurs. Because of the strict hospital rules, the instrutor said it was very difficult to find a doctor who would be willing to commit to being at the hospital for what could be a long labor. This may be why your current doctor will not do it. Sorry I couldn't be of more help.

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