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VBACFrom: Alana A. Millman (midwife2be@lvcm.com)Sat Oct 28 13:14:48 2000
Alana wrote: > > I, myself, am a well informed low risk woman who had a home VBAC
Deborah wrote:
>I have to respectfully say that I disagree. A VBAC is not low risk. Your respectful nature is appreciated and disagreement is fine, but I'm not about to change my mind. Yet, anyway. So how should I respond to my OB/GYN who did my c/s (shared the "tour inside" with my midwife and dh) and during my next pregnancy *encouraged* me to have a homebirth? Or should I just stop seeing her because she is just as "unsafe" as I am? Since I have begun my "hands on" work under supervision and I am just now forming plans for my future independent practice (and may or may not choose to practice differently than my preceptor), would you care to elaborate on VBAC not being low risk? What risk factors are you evaluating? Uterine rupture? How much do you think the time difference is between our ability to get a woman to a hospital operatory (when we phone ahead) and our local hospital ability to get a woman to an urgent c/s? I don't really want to argue. If you feel you have some information that may cause me to change my views please pass it along, but I don't want to play a numbers game. I find a 0.03% to 1% risk of uterine rupture to be a reasonable risk and I would not accept a client who did not understand the risks. Who knows? Perhaps this list will change what I think and make me "safer" according to your criteria. Alana
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