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Re: VBAC After prior C-section in India

From: Claudia Twisdale RN (anonymous@obgyn.net)
Sun, 31 Aug 2003 10:20:19 -0500 (CDT)


Does your wife have a copy of her previous c section surgery notes in her records? OK, and dumb question, but are they in english? If the op notes were not there, OB may be hesitant to do trial of labor. Just a thought.

At Sat, 30 Aug 2003, Leigh wrote: >
>At Wed, 27 Aug 2003, Abby wrote:
>>
>>At Wed, 27 Aug 2003, Sankar wrote:
>>>
>>>Hi,
>>>
>>>We had our first baby delivered by c-section in India (Low Transverse
>>>incision) in 1999..Now my wife is expecting our second baby in Nov. Her
>>>Doctor here has said she has no option of trying for VBAC as it is a
>>>rule in the USA that if the prior c-section was done outside US in a
>>>country like India, then VBAC cannot be attempted. Is that true? Can
>>>someone shed more light on this? The first baby was delivered by planned
>>>c-section because the umbilical cord was wound around the baby's neck.
>>>Thanks for your help..
>>>
>>>--
>>>Sankar
>>
>>>Sankar,
>>
>>VBAC's are becoming harder to get in the U.S. even if the C section was
>>done in the U.S., because of medical malpractice liability concerns.
>>There is no USA "rule" - each hospital develops its own policy on this.
>>If you look around, you may find a doctor and hospital who will do a
>>VBAC for you, but you may have to sign paperwork promising you will not
>>sue if something goes wrong. And, even if you promise not to sue, they
>>may still refuse to do the procedure.
>>
>>--
>>Abby (not a doctor; I'm an insurance consultant)
>>
>--
>My sister recently faced the same dilemma with her doctor. In the past year many doctors and hospitals have begun to refuse to allow VBAC. From the research we have done, there is little risk of uterine rupture when labor is not induced or augmented. My sister was able to find a doctor supportive of VBAC here in OK. You may be able to get a referral to a supportive dr. through a local midwife. They are usually very supportive of VBAC. I hope things go well. Do your homework and I things will turn out well for you!!
>




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