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View Full Version : Why do some Obs refuse to do VBACs? They are too darn lazy.



becca74
22-04-2007, 02:02
In this article, Obs admit that they dont want to do VBACs because they dont want to spend time with birthing women. Well, duh, why the bleedin hell did you choose a job that involves spending time with birthing women? Helloooo??? They also admit that it is more about their fear of litigation that they would prefer to give 100s of women unnecessary dangerous life threatening surgery, just to avoid 1 lawsuit, because they dont want to do their job properly and actually look after them the whole time. makes me want to :barf:

Another reason to choose 1on1 midwifery care, I say.

below is part of the article from, i've added emphasis: http://www.fortwayne.com/mld/fortwayne/news/local/17109263.htm



Holli Seabury thought the doctor had her mixed up with another patient when, on her first prenatal checkup, he told her, “‘We can schedule your C-section a week before your due date.’
“I said, ‘What are you talking about?’ I had no intention of having a C-section.”
Seabury’s first child, now 19, was delivered by Caesarean section, but the next four children were delivered by VBAC – vaginal birth after C-section. She had long ago forgotten the old saying, “Once a Caesarean, always a Caesarean,” but the doctor in Defiance, Ohio, where Seabury worked at the time, said the hospital he used had returned to the old philosophy.
“They refused to do VBACs,” said Seabury, who lives in Fort Wayne.
The VBAC issue is a hot topic in the obstetrical community. Not allowing them raises strong objections among some women, and doing them sounds an alarm among doctors and hospitals.
In fact, Lutheran and St. Joseph hospitals recently made a decision to allow VBACs only if the doctor remains in the labor and delivery area throughout the patient’s active labor. This is a change from previous practice allowing doctors to be in another part of the hospital or in their nearby offices.
An anesthesiologist and an operating room must also be immediately available, said Mary Ellen Brill, Lutheran’s director of quality services.
The decision came after Triad Hospitals Inc., which owns Lutheran, St. Joseph and Dupont hospitals, asked its members to review the safety of VBAC and define what “immediately” available means.
With VBAC, there is a slightly greater risk of uterine rupture and maternal and fetal death.
“Because of our discussion, some doctors, frankly, have said, ‘If we can’t really do that, we shouldn’t do them,’ ” Brill said of the requirement for doctors to remain in the OB unit. “We’re more than happy to have a doctor and his patient come to Lutheran Hospital to have a VBAC, but we want to do it in a safe environment.”
Dupont Hospital is evaluating its policy, said Dr. Cortney Schwartz, OB department head for Dupont and a partner with Women’s Health Advantage (WHA).
In 2004, the American College of Obstetrics and Gynecology (ACOG) changed wording in its VBAC recommendations from having a doctor “readily” available to “immediately” available, spurring a review of the issue by doctors, hospitals and malpractice insurance companies.

PunkyDiva
22-04-2007, 02:07
Although I see CS as a legitimate option it has to be presented amoungst all the options and the decision up to the woman in question (within medical reasoning).
Be informed and stand strong with your choice.:thumbsup:

meatloafkend
25-04-2007, 10:00
I am honestly shocked that the hospital changed it's policy. I thought it was only recommended for the doctor to be in the hospital (office in the hospital). Being right in the delivery room is fairly over-the-top. It's almost like they are trying to make it difficult for the OB's

PunkyDiva
25-04-2007, 10:13
Just reread this article and feeling a bit sick as comprehension sets in.
Legal reasons, yes but also because Hospitals are now totally governed by monetry factors and indeed private ones, the profit margin.
So I presume from this article a woman attempting a VBAC takes up room and resources for a longer period then a C/S so by making OBS prescence mandatory they will reduce numbers of VBAC considerably.Or maybe more money can be charged for a C/S and subsequent medical care. Whatever the real reasoning under the **** statement, that is sickening to me and seems a huge step back in woman's informed choices and proactive birthing practise. Greed over health, shame on them!!