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Changing ob/gyn @ 34 weeks? Need VBAC friendly doctor!

From: abrook (anonymous@obgyn.net)
Fri, 29 Mar 2002 17:26:28 -0600 (CST)

My wife's first baby was a c-section (c/p disproportion). She is now in her 34th week in her second pregnancy. Her ob/gyn is not very supportive of a vbac; he immediately suggested a repeat cs. Only after she insisted on a vbac, he sort of accepted, and got her very scared with all the potential risks of a vbac. So much for an "informed consent". We understand there are risks to a vbac, but shouldn't the doctor also weigh those risks against the risks of a repeat c/s?

We are concerned that since he is hesitant to the whole idea of a vbac, he may only be paying lip service to her wishes, and my wife will end up having another cesarean! Anyway, here is my question: I did a lot of research (on vbac in general and on practitioners) and located a vbac friendly doctor in a very respected university hospital, but my wife was not able to get an appointment with him! The nurse told her that she was too late in her pregnancy to change doctors. I have never heard that before. They also told her that her current doctor should respect her decision to have a vbac... (we know that, but "formally" respecting her decision is not the same as actively working with her to make it happen). Should we insist in getting a consult with the doctor? Is it really difficult to change doctors at this point? Any advice on this is greatly appreciated.

Just for the record - I have nothing against c-sections. It's a great procedure that saves lifes. But I strongly believe that trial of labor should be allowed and encouraged when possible.

Thank you in advance.



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