Vbac homebirth is legal where I live! (Utah)

Legal in Texas as well. In fact my midwife just attended a VBA4C!

Homebirth VBAC’s are illegal here in AZ as well. They are trying to change that law though.

Yep. And define why. For example, home birth probably ISN’T a safe option for me. Since I have had two babies, both delivered vaginally, with both I hemorrhaged, with the second I had a severe blood pressure drop shortly after. I’m just as glad to deliver in the hospital – I don’t consider the risks remotely worth it in my case.

But then, I’m responding to my experience and the evidence around it…this sentence in isolation, without “…because of X, Y, and Z” gives the mother nothing to go on except their trust in the practitioner and whatever they already know about their own circumstances.

Not cool, and also not helpful.

True! My first DD was a CS. My following 2 DDs were VBACs

It’s a common abbreviation in online forums, referring to someone close to you. DD = Dear Daughter, DH = Dear Husband, DS = Dear Son, etc.

The problem vbac mothers face in hospitals is that most providers don’t allow them, a lot of providers that claim to allow them are usually secretly looking for any reason to repeat section. It’s so hard to find a truly supportive provider most women are forced to have hbac or at least labor at home practically until push time.

I appreciate your recognition that you are expressing an opinion, as opposed to a fact. Im on mobile, can anyone find links demonstrating thg risk factors for vba vs. vba2c, vs primapara etc.? As an l&d nurse i encourage you to read up on this. many moms will appreciate it.

Dear Daughter (or darling)see also DS (dear son) DH (dear husband) etc. The risk of rupture must alwasy be wieghed againt the risk of another possibly unnecessary c-section because the doctor/hospital puts you on the clock, tries to induce before your body is ready or otherwise messes up an otherwise normal birth. While I do agree with you up to a point and did attemp VBAC in the hospital twice. I also experienced a window/slow rupture that CAUSED failure to progress and wasn’t diagnosed until they opened me up again. There are lots of situations where things go wrong slowly and stall out because something is wrong. AND the biggest cause of rupture in a VBAC TOL is cytotec which guess what – they don’t give at home! So whether home birth is “safer” depends very much on the policies at the hospitals that would be your other options. Some of them aren’t worth setting foot in.

http://www.medscape.com/viewarticle/573948

Actually, the risk decreases by 50%.

And as someone who suffered iatrogenic injuries in 4 out of 4 hospital births….

You are assuming that being in the hospital means that a patient will get immediate care when it is needed, but in my case that just wasn’t true. My son would have gotten medical care much faster had he been born outside the hospital and then rushed to the ER. Hospitals are great and can save lives when they work as they should, but when they don’t it is like you are stuck on Gilligan’s Island.

I’m going to ditto what Carolyn said. There were many times in the hospital when I was left completely alone (they even sent my husband home) or when I would push the emergency call button and not receive help for 45 minutes.

A homebirth midwife, on the other hand, remains beside the patient the entire time. Early signs of uterine rupture would be caught by the midwife as soon as they began happening, not during sporadic checks by the nurses who are caring for several patients at once, and the midwife could then alert the hospital that they were coming in and to have help ready for an emergency.

As I’ve said before, if the doctor needs to be paged to the hospital, then you’re not really that much safer at the hospital than at home if your home is about as far away from the hospital as the doctor’s home.

A woman laboring at home without pain medication is also more likely to feel the sensations of uterine rupture than a woman in a hospital with pain medications. So it seems from an outsider’s perspective that the continuous personal presence of the midwife plus the mother’s ability to monitor her own sensations, plus the fact that the doctor may very well not be in the hospital if an emergency were to happen, means the mother’s safety isn’t that enhanced by laboring in the hospital.

A top-level OB hospital is only required to have a decision-to-incision time (the time from when the OB says, “We need to perform a Caesarian immediately.” to the time that the doctor starts cutting the mother) of half an hour.

This is not to say that some hospitals can’t be faster sometimes, but the required standard of care is half an hour. If you live within a reasonable distance of the hospital, and you are attended by a competent midwife, she’ll be able to call the hospital and tell them to prepare for surgery when she realizes it’s necessary. You’re not necessarily losing any time vs. being in the hospital, where they may not realize the problem right away, and when the nurses realize that there is a problem, they still need to get a doctor to evaluate the problem and decide that surgery is necessary.