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January 18, 2012

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January 18, 2012

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ACOG guidelines

I agree with Stephanie that patients should be well informed, healthy and stay away from as many interventions as possible. I was one of those patients and I still ended up with a c-section. Does that mean I should automatically go through another major surgery? The chance of uterine rupture is low (0.5-1%) and the risks associated with c-section are considerable. I had a newborn that stopped breathing several times due to not being "squeezed" during the delivery process to expel the liquid and mucus from her lungs. I would encourage anyone interested in this subject to read the American Congress of Obstetricians and Gynecologists' latest guidelines on VBACs (http://www.acog.org/~/media/ACOG%20Today/acogToday0810.ashx?dmc=1&ts=20120217T1549512743), especially the section regarding the recent trend of increasing maternal mortality following the same trend of increasing c-section rates. Unfortunately, I'm no stranger in the OR, but I won't be hopping onto the operating table unless it is truly medically necessary.

Kristi more than 2 years ago

Interesting!

Very interesting! I didn't have a c-section but my 2nd labor was so short (my first was 12 hrs) there is no way I would have made it across the bridge! I barely made it to Memorial and it's only 10 minutes away. I'm sorry that other moms have to be face this frustrating decision! Have a backup plan, though!

Heather more than 2 years ago

risks vs option

Sometimes the risks outweigh the option. The money is not there to pay for in house anesthesia or ob. Being one that has seen the devastation that uterine rupture can cause I don't support the necessity of our small wonderful community hospital to provide them. It was not long ago that only a very small handful of providers performed them at Anne Arundel. I believe that our local providers are working very hard to prevent primary c sections by limiting social inductions. It is the communities job to educate themselves and enter pregnancy healthy and use little to no intervention.

Stephanie more than 2 years ago

here's one...

I've often times wondered why VBAC was never an option here or even really mentioned--this has clarified so many questions. Mothers should have the option or at least be informed of availble birthing options.
Our son was delievered via emergency c-section almost four years ago. While I too have friends who have longed to have a VBAC, I'm welcoming my scheduled C-section on March 5 this year for our second son and it never really crossed my mind to have it any other way. This could be "pregnancy amnesia", but I don't remember it being so terrible afterwards, and I'm glad to be able to look forward to our newest son's birthday.
Great article, Patty!

Michele Tota more than 2 years ago

Thank you!

What a great article. We had our little one via unscheduled c-section and now are faced with the options of scheduling a c-section or traveling for a vbac when we have another child. This does a nice job of outlining the why's and what's of the situation. Well done!

Abby West Cureton more than 2 years ago

VBAC

I love that this article addresses this frustrating situation. After having two C-sections (one unplanned and one scheduled) I researched my options and chose VBAC. I went on to deliver three healthy babies (including a set a twins) via VBAC, all at Memorial Hospital at a time when they were still 'allowed". Honestly, if Shore Health System really wants to live up to its slogan of "Exceptional Care Every Day" they need to give women on the Mid Shore the VBAC option.... anything else is a compromise. It appears SHS has identified the roadblock to providing VBAC at Memorial (lack of in-house anesthesiologists/obstetricians) so what are they doing to tackle it?

Thanks for publicly addressing the issue.

ctymouse more than 2 years ago

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