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VBAC at home???

From: AMD (anonymous@obgyn.net)
Wed, 5 Jul 2000 12:27:24 -0500 (CDT)


I have a friend who is 6 months pregnant with her 2nd child. The first was c/s after several hours in labor, but she doesn't know why. While participating in LLL, she seemed to get in with some of the "anti-doctor" types who convinced her that her c/s was totally unnecessary -- that if the doctor had been patient enough she would have delivered "naturally". So for this baby, these friends have hooked her up with a midwife who will deliver her baby at home. I personally think this is a BAD idea and have told her so. I know several people who have delivered at home and have totally loved the experience, but a VBAC at home seems unnecessarily dangerous. It may be fine, but the bad can be catastrophic. I have also heard several stories from my mom (a NICU nurse) about babies who were lucky(?) enough to survive a home birth gone bad.

I am also concerned because I can't get a fix on this midwife's qualifications -- my friend doesn't know if she's a CNM or lay midwife, whether she has any hospital privileges or OB backup. The midwife is so positive with her, that my friend doesn't think it will matter -- the baby will pop out at home with the help of the midwife and everyone will be happy. I'm worried that the midwife hasn't really spelled out the risks involved or how likely she will be to need another c/s.

So am I just being paranoid about this? Do midwives routinely do VBAC's at home? Is there a good reference to provide my friend to help her make an informed choice? And is there any way to check out this midwife? I know I would be much more comfortable if she would at least go to a birthing center.

Thanks, Andrea




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