Posted by My OB said WHAT?!?.
Feb
1
Posted by My OB said WHAT?!?.
“Nobody Really Wants To Wait Around For A VBAC Labor To Go Wrong…”
“Nobody really wants to wait around for a VBAC labor to go wrong- we have other women to tend to. And with that said, we’re really not equipped to handle a VBAC that goes wrong if the uterus ruptures” -OB during when asked why the hospital had a VBAC ban in place.
There are 20 comments to this post.
Crunchy Nurse had this to say,
Feb 1, 2010 @ 2:39 pm (Quote)
Yeah, since a uterine rupture can occur before labor begins, I would say that makes the OB/hospital unqualified.
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Exactly! If they cannot handle a uterine rupture under any circumstances why do they have a maternity department at all?
The whole reason most women go to the hospital (at least the ones I talk to who would “never consider homebirth”) choose that because they assume the hospital IS equipped to handle an emergency like a uterine rupture, among other things.
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Michelle Potter had this to say,
Feb 1, 2010 @ 3:11 pm (Quote)
So, hospitals, the safest place to have your baby “in case something goes wrong,” are not prepared to handle a particular complication, even though that complication could theoretically happen during any birth, and even though they know *in advance* that there is a higher (though still low) risk of that complication during this birth. How does that work again?
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Stephanie - Home with the Kids had this to say,
Feb 1, 2010 @ 4:25 pm (Quote)
I got a similar kind of reason for a hospital not doing VBACs once. They said that they would be required to have the entire surgical team in the room at all times for a VBAC, and so they found the cost to be unreasonable.
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Why wait hours for a VBAC to go wrong when a c-section can go wrong in just minutes?!
Ay-yai-yai.
You know, I think it would be reasonable for hospitals without 24/7 anesthesia to ban pitocin-inductions for VBACs. But to ban VBACs outright is absolutely infuriating.
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Hopefully this discussion wasn’t held while the mother’s in labor and faced with an “immediate” VBAC vs. C-section decision. Hopefully it was while choosing a hospital, since this might make it incredibly simple to choose where NOT to go. It’s kinda convenient (if sickening/infuriating) for them to knock themselves out of the running like that.
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I gaurantee that they administer pitocin at that hospital and one of the potential side effects of pitocin use is uterine rupture. If they cannot deal with uterine rupture then then they should not use pitocin.
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WellBegun Reply:
February 1st, 2010 at 9:13 pm (Quote)
Pitocin used judiciously is a lot less likely to rupture a uterus in a VBAC (low transverse, ideal candidate, yada yada) than prostaglandins, and misoprostol can rupture an unscarred uterus. That said, I agree that pitocin should be avoided if possible (and almost all the time, it is) and used very cautiously if it is needed. The research I did on Pit with VBAC for a recent client showed that the increase in risk is actually quite small, but did not address whether the scars in the study were “proven” or not (i.e. was this their first VBAC), which disappointed me.
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Krista Reply:
February 2nd, 2010 at 5:49 pm (Quote)
At our primary hospital pitocin is pretty much administered on arrival either as an induction or augmentation. 
I wish the practitioners would get away from pushing the drugs and start allowing VBAC’s. I don’t know the hospital’s actual policy on VBAC, but I do know that every friend of mine who had a c-section tells me “of course, I HAD to have one with the rest of them…”. So sad.
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When doctors try scare-mongering like this, women really should take them up on it. Watch the progression:
“Oh,WOW! So what happens in a uterine rupture?How dangerous is it?And what would a properly equipped hospital do for a woman who has a uterine rupture? And you can’t do that? And this can ONLY happen during a VBAC? I’d better tell all my friends so THEY can change hospitals too!!!!”
Right? Or keep stringing him along:
“It can’t possibly happen prior to labor? And which hospital did you say can do that? And which doctor do you recommend at that hospital? And do you have his phone number? Wait,what do you mean it isn’t a big risk after all? Oh,then I can have a VBAC?”
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Either you can handle emergent issues or you can’t. You don’t get to advertise it both ways.
Are they trying to say they don’t have the ability to deal with other emergencies, say, a cord prolapse? Most of the stories I’ve read involving that seem to be the nurse riding in the bed with mother to OR with her hand up the mom’s hoohah keeping the cord from compressing. It’s a pretty intense situation and requires immediate intervention as well.
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If they’re not equipped to handle a uterine rupture, then they’re not equipped to handle any kind of birth complication. No?
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Lauren Reply:
February 1st, 2010 at 11:31 pm Lauren(Quote)
EXACTLY!!!!!!
And what are they expecting, that ALL VBAC mommies will roll over and allow major surgery for no medical reason??? *gag*
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Jane Reply:
February 2nd, 2010 at 3:34 am Jane(Quote)
Why yes, yes,that’s exactly what they expect.
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Lauren Reply:
February 3rd, 2010 at 12:52 am Lauren(Quote)
Well, with me they would have been unpleasantly surprised, as nothing was going to stop me from my VBAC (barring an actual medical emergency).
I had my lovely VICTORY after a Cesarean just 3 months ago. SUCK it stupid OBs!! Ha ha!
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