(This applies to anyone seeking a natural birth or who wishes to avoid an unnecessary c-section regardless of whether or not you have a cesarean birth in your history.)
- If your care provider is in a practice of 2 or more (or 8!?) doctors who may or may not be supportive of VBAC, switch care providers!!!
if you found one provider in a big practice who is sincerely supportive
of VBAC, it is often the case that this provider will need to induce you in order to make certain that he/she is “on call” during your birth. This decreases your chance of successful VBAC while also increasing your risk of uterine rupture AND repeat c-section. It’s a LOSE LOSE LOSE!!!
you are allowed to go into labor spontaneously you run the chance of
your supportive provider NOT being on call and ending up with Dr.
C-section who hates VBACs and refuses to support them.
- If your care provider is unable or unwilling to give you his/her exact stats, switch care providers!!!
rate? VBAC success rate? How many VBACs attended? If your provider is
really supportive of your VBAC, you can expect him/her to easily and
willingly share exact stats.
for a provider who is very experienced and comfortable with VBAC and
has assisted in many VBAC deliveries. You should look for a provider
with at least a 75% success rate with VBAC deliveries. I’ve actually
seen some providers with a 95% or higher rate!
- This bears repeating. Find a provider who is very experienced and supportive of
VBAC deliveries. This person should not just be “willing” to “let you
try” as a VBAC mom, but also be excited and happy for you and clearly
EXPECT you to be successful!
- If your care provider keeps using language that indicates he/she may be skeptical of your ability to give birth vaginally, switch care providers!!!
- Look for key phrases like...
- “Birth is unpredictable so we’ll see what happens.”
- “I’ll let you try, but I require certain things just in case...”
you go into labor by (set deadline) and IF you progress at (set rate of
labor progression), then you MIGHT be able to have a VBAC.”
- If your care provider does not give accurate and up-to-date evidence based statistics, birth practices, or information in general, switch care providers!!!
- This puts some of the responsibility on you to look up the current practice bulletins, know the latest VBAC research, rupture stats, induction stats, best birth practices, etc. So do your homework so that you will know if your provider is feeding you BS or even just their own personal biases against VBAC.
your care provider at any point has an anecdotal horror story involving
a VBAC that he/she feels compelled to share with you, switch care providers!!!
care provider that has clearly been “scared” by VBAC is not ultimately
going to be supportive even if he/she says “I’m willing to let you try.”
your care provider says he/she is supportive of VBAC, but is
discouraging of your taking an independent childbirth class and/or hiring a doula switch care providers!!!
may be a sign of the classic “bait and switch.” Unfortunately, it is
very common. A mom may feel very supported in her desire to VBAC.... until
36 weeks when suddenly the doctor starts saying things like, “Are you
still sure you want to attempt a VBAC?” (Add possible random scare
tactics thrown about haphazardly to make mom feel intimidated. Maybe a
scary anecdote from the past thrown in for good measure.) Run, do not walk, AWAY from this care provider. It is never too late to fire your provider until you have given birth!
you genuinely LIKE your care provider but are unsure of their ability
to support your VBAC, but are also afraid to “hurt their feelings” by
switching care providers, GET OVER IT AND switch care providers!!!
if you “click” with this person and just love him/her to pieces. Even
if you are best buds and have warm fuzzies every time you are together.
Even if you have every single thing in the world in common. Warm fuzzies will not support your VBAC!!!!
- It does not matter if you have organic gardening in common and love knitting together, this will not get you your VBAC.
if you are afraid to switch, it is actually unlikely that you’ll hurt
anyone’s feelings. We’ve even seen moms switch and the OB didn’t even notice. They see so many moms, this is often the case. Do not EVER be afraid to switch at any point in your pregnancy.
are just one person out of hundreds of patients your provider is likely
seeing. You are not going to be the one to change his/her mind about
VBAC. Nor should you be. Do not put yourself into that position!
are talking about the health and well being of you and your baby here,
it is not worth risking over fear of hurting feelings or fear of leaving
someone you “get along” with. You need a provider who practices
evidence based birth and believes in your ability to give birth, not a
buddy with whom you can chat comfortably.
- If your care provider does not clearly love VBAC, switch care providers!!!
- Care providers with the best VBAC success rates honestly enjoy supporting VBAC moms and have a solid belief in the moms’ abilities to give birth normally!
provider should understand that VBAC is supported by the evidence as
the option that is in the best interest of you and your baby! It will be
clear from the beginning that this provider wants you to get the birth
you want and will do everything possible to support you in achieving
- If your care provider does not actually want you to be successful with VBAC in the end, you most likely won’t be.
- If you have missed the “bait and switch” signs until the very end it is not too late to switch care providers!!!
your provider is all the sudden throwing around scary stories, scary
stats, or obvious scare tactics, it is still not too late to switch!
- If your provider does a late term ultrasound and cries “LOW FLUID!” or “BIG BABY!” or even mentions that maybe you’re a little overweight and might not be able to give birth (say it with me!), switch care providers!!!
- If you are not 100% sure that your care provider is the most VBAC supportive care provider you can find, switch care providers!!!
cannot emphasize enough that just being “comfortable” with a certain
care provider IS NOT ENOUGH. You may feel very trusting of this person,
but if this person does not 100% believe in YOUR BODY and YOUR ABILITY
to birth your baby, all the comfort and trust in the world will not get
you the safest and healthiest birth for you and your baby!
care provider that is genuinely supportive of your VBAC will not only
say, “I will support you.” but also may (hopefully!) say encouraging
things like, “You are a great candidate for VBAC! I see no reason why
you shouldn’t be able to give birth vaginally!” This provider not only
will support you, but WANTS this right alongside you and will go the
distance to support every measure to get you that VBAC. This provider is
practicing evidence-based medicine rather than fear-based! This is your
best chance for a safe and healthy birth!
Post a Comment