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De Facto Ban...


Forum: VBAC: Vaginal Birth After a Caesarean

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  #1  
June 12th, 2011, 10:17 AM
blessdmommy's Avatar Happy mama to 3!
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So it's an unofficial ban? Anyone deliver at a hospital with a De Facto Ban??
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  #2  
June 12th, 2011, 12:26 PM
NutMeg76's Avatar Platinum Supermommy
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A de facto ban means the hospital does NOT have a ban, but none of the doctors that deliver there will do one. Or that while there is no policy in place saying "no" they will make life difficult when you get there.

If you have a supportive provider and show up there it should be okay. If I were in that position I would wait until the last minute to go in and bring with me the new guidelines from the ACOG.

The last paragraph being the most important in this case.
Ob-Gyns Issue Less Restrictive VBAC Guidelines
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  #3  
June 12th, 2011, 09:59 PM
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I delivered at a hospital with a defacto ban but there are actually quite a few doctors at the hospital itself that are willing to attend a VBAC.
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  #4  
June 13th, 2011, 09:50 AM
blessdmommy's Avatar Happy mama to 3!
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I don't get it!!

If a De Facto Ban is proclaiming that the hospital DOES NOT have a ban...then why won't the OBs attend VBAC births?
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  #5  
June 13th, 2011, 03:16 PM
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Because they don't want to. Or the doctors individual insurance makes it too costly. It could also be that it isn't popular to VBAC in the area so the hospital just doesn't do them because the women are either not requesting them, or the doctors are scaring them away from them.

If the doctor is telling you the hospital has a 'ban' as in an actual policy against it, but the hospital doesn't, then the doc is not being truthful. A doc that lies isn't worth his/her weight.
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  #6  
June 15th, 2011, 11:13 AM
blessdmommy's Avatar Happy mama to 3!
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Quote:
Originally Posted by NutMeg76 View Post
Because they don't want to. Or the doctors individual insurance makes it too costly. It could also be that it isn't popular to VBAC in the area so the hospital just doesn't do them because the women are either not requesting them, or the doctors are scaring them away from them.

If the doctor is telling you the hospital has a 'ban' as in an actual policy against it, but the hospital doesn't, then the doc is not being truthful. A doc that lies isn't worth his/her weight.

My doctor NEVER TOLD ME ABOUT A BAN! I found out about the ban through the ICAN website.
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  #7  
June 15th, 2011, 06:52 PM
NutMeg76's Avatar Platinum Supermommy
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If your doctor supports VBAC, then don't worry about it. If you read on teh ICAN site it says a de facto ban means when they called and asked the person on the phone said eihter they didn't do them, or that they had never seen or heard of one. It doesn't mean you can't VBAC there.

When I was looking for a provider to VBAC with in NJ the hospital I was at had a de facto ban, Centra State Medical Center. The doctor I was originally seeing didn't normally 'do' VBAC, but admitted because most women in the area didn't want them. So at that hospital the de facto ban was because most of the women elected to have a repeat, period. THe provider was very supportive of my option to VBAC.

I did not end up going to that hospital because they had a nearly 50% c-section rate!
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  #8  
June 16th, 2011, 11:16 PM
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I thought I would point out that the ICAN ban/de facto ban list was done in 2008, so things may have changed since they called and asked the hospital. Your best bet would be to call and ask them yourself!
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  #9  
June 22nd, 2011, 08:35 AM
blessdmommy's Avatar Happy mama to 3!
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Quote:
Originally Posted by NutMeg76 View Post
I thought I would point out that the ICAN ban/de facto ban list was done in 2008, so things may have changed since they called and asked the hospital. Your best bet would be to call and ask them yourself!

That's what I thought. Should I call the L&D floor?
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  #10  
June 22nd, 2011, 01:59 PM
NutMeg76's Avatar Platinum Supermommy
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Yes, they will give you the quickest response. Remember, not all nurses/receptionists are created equal. You may get someone who just has no clue!
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