VBAC or Repeat C-Section?

[angie]

The ACOG ( American Congress of Obstetricians & Gynecologists) recently took their heads out of their butts....ooopppsss, I mean set out new guidelines as follows:

“In keeping with past recommendations, most women with one previous cesarean delivery with a low-transverse incision are candidates for and should be counseled about VBAC and offered a TOLAC.

In addition, ‘The College [sic] guidelines now clearly say that women with two previous low-transverse cesarean incisions, women carrying twins, and women with an unknown type of uterine scar are considered appropriate candidates for a TOLAC,’ said Jeffrey L. Ecker, MD, from Massachusetts General Hospital in Boston and immediate past vice chair of the Committee on Practice Bulletins-Obstetrics who co-wrote the document with William A. Grobman, MD, from Northwestern University in Chicago.

From one of my favorite blogs http://navelgazingmidwife.squarespace.com/

[amandolin]

What Taipei hospitals encourage VBAC? I had some complications after the birth of my first baby (via C-section), and need a hospital that is well-equipped for my second baby due in May 2011. I live in XiZhi and would like somewhere nearby. Anyone know if Veteran's Hospital in Neihu is VBAC-friendly? Experiences? Thoughts?

[angie]

Depends on what the complications were due to after the c-section. Some things can reoccur and some things were a once off.

I know the birth center does VBACS as do some doctors at Chung Shan as will some doctors at Shing Guang.

I really think it depends on the individual doctor and your situation last time. Contact a few doctors at 3 services hospital in Neihu and see what they say. You could also go to the birth center and see Dr.Huang and explain the situation to see if he can help you as I've done several VBACS with him.

Good luck,

Angie

[Michelle]

Hi,

I managed to have a VBAC at Veterans (in Tianmu) with my 2nd child. My doctor gave me the option throughout my entire pregnancy with all the standard warnings (although I do feel he was pushing me to have another c-section, but possibly so he could organise his schedule). I also consulted an OB/GYN in New Zealand to discuss the risks.

I'd be happy to discuss the pros and cons both medically and emotionally with you if you would like. Just PM me if you have questions. From my experience only, I would say a VBAC is a different experience to a normal vaginal delivery.

Good luck though. I know it is a big decision.

Michelle