Private VBAC Melb - Supportive Obs

**BellyBelly** · July 28th, 2011, 10:47 AM

I'm wondering who everyone is having VBACs with, the usual Obs I suggest for those going private aren't an option for this person, so who else is happy with good supportive VBAC Obs? Names please?

**FabFiona** · July 28th, 2011, 11:04 AM

My OB Anna Rogers is very supportive. I wasn't seeking a VBAC but my girlfriend had a great experience. She also works at The Women's.

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**black_rose** · July 28th, 2011, 11:57 AM

I had my first vbac with Chester Yeoh and when he was away the second vbac was with Peter Tang, although the midwives did all the work as he didn't get there in time. Ds was 9pd 11 and there was no push for intervention.

**HotI** · July 28th, 2011, 12:00 PM

Black-rose, you did all the work, don't forget that!

**black_rose** · July 28th, 2011, 12:18 PM

Yeah, but ds got stuck so they helped get me through it instead of whisking me off for a c sect, or using the forceps.

**loulabelle** · July 28th, 2011, 01:15 PM

I attended sammiejanes vbac a few months back her vbac was with dr. Ravi kashyap at Jessie mac. He was awesome. Hth.

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**melbel** · July 28th, 2011, 02:03 PM

Euan Wallace at Jesse Mac is very pro VBAC.....trained under the English system and even advocates homebirth for uncompicated pregnancy...is very hard to get into though.

**BellyBelly** · July 28th, 2011, 02:15 PM

Thanks everyone. If you have details on conditions that would be great too. Ta!

**black_rose** · July 28th, 2011, 02:56 PM

I had a ct pelvimitry after my c sect, and he suggested I wait 12 months before ttc again. With my first vbac I had gestational diabeties so I had weekly checks from 34 weeks and I wasn't allowed to go past 38 weeks. Went into labour at 35 weeks but was on bed rest and medication until 37 weeks, on the night I had my bloods taken and a cannula in my hand jic I had to go to theatre.

With ds there were no conditions, just bed rest as I went into labour at 34 weeks, he was prepared to do a c sect if I wasnt coping but got to a healthy 39+5. No cannula or bloods this time.

**BellyBelly** · July 28th, 2011, 03:02 PM

The fact that an Ob is doing a scan on your pelvis is a big sign that they are going to be pro-intervention and conservative. This is because you are having the procedure done flat on your back (worst position for closing IN your pelvis) and doesnt take into account the fact that your pelvis opens and swings like gates in labour due to the beauty of hormones like relaxin which ramps up for the birth. Unless you've had rickets, pelvic damage or other illnesses, your pelvis should be more than capable. Sometimes babies get misaligned due to all sorts of reasons, but getting up of your back and keeping active is a huge help to rectify that, avoiding epidurals etc.

**Sammiejane** · July 28th, 2011, 03:08 PM

I attended sammiejanes vbac a few months back her vbac was with dr. Ravi kashyap at Jessie mac. He was awesome. Hth.

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Yep, he was brilliant!
Encouraged me to stay home as long as possible and allowed me to delay cord clamping.

I had a bleed at 33 weeks which I was hospitalized overnight, but he let me go out to pick up DD so she wouldn't freak out when I didn't pick her up from cc and was supportive the whole way through. (obviously I wasn't actively bleeding at the time)...

He was also very encouraging of me having a doula and told me it would further increase the chance of getting my VBAC.

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**melbel** · July 28th, 2011, 03:10 PM

As in conditions which he would/wouldn't support vbac?

We have discussed it in my case and he has been positive in general...he likes women to have had a reasonable amount of time to heal since the previous birth..we saw him when Connor was about 14 months and he said we were definitely in the window but not sure what that window was exactly. the only reservation he has in our particular case is that with type 1 diabetes the baby may need to come early and he does not like to actively induce a VBAC.....if we got to 38 weeks and everything looked ready (think Bishop scale) that would be okay but he would be reluctant to do an active induction if things weren't ready as that might be pushing the envelope...other than he was very positive about it all......he actually said he actively encourages VBAC as he does not like to do repeat sections just for the sake of it.

i would think he would be flexible on negotiating intermittent monitoring rather than constant etc etc...he likes active mobile birthers.

**melbel** · July 28th, 2011, 03:10 PM

As in conditions which he would/wouldn't support vbac?

We have discussed it in my case and he has been positive in general...he likes women to have had a reasonable amount of time to heal since the previous birth..we saw him when Connor was about 14 months and he said we were definitely in the window but not sure what that window was exactly. the only reservation he has in our particular case is that with type 1 diabetes the baby may need to come early and he does not like to actively induce a VBAC.....if we got to 38 weeks and everything looked ready (think Bishop scale) that would be okay but he would be reluctant to do an active induction if things weren't ready as that might be pushing the envelope...other than he was very positive about it all......he actually said he actively encourages VBAC as he does not like to do repeat sections just for the sake of it.

i would think he would be flexible on negotiating intermittent monitoring rather than constant etc etc...he likes active mobile birthers.

**Sammiejane** · July 28th, 2011, 03:13 PM

I attended sammiejanes vbac a few months back her vbac was with dr. Ravi kashyap at Jessie mac. He was awesome. Hth.

Sent from my GT-S5570 using Tapatalk

Yep, he was brilliant!
Encouraged me to stay home as long as possible and allowed me to delay cord clamping.

I had a bleed at 33 weeks which I was hospitalized overnight, but he let me go out to pick up DD so she wouldn't freak out when I didn't pick her up from cc and was supportive the whole way through. (obviously I wasn't actively bleeding at the time)...

He was also very encouraging of me having a doula and told me it would further increase the chance of getting my VBAC.

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**Hannahbanana** · July 29th, 2011, 12:38 PM

I had a VBA2C with Keith How down in Mornington. I didn't have any restrictions or interventions only AROM when I was fully dialated after I asked the midwife to. We discussed all the usual things like cannula, monitoring, post dates, natural third stage, bath, even though he did express some concern to a few things he was happy to go with what I wanted. The only thing he did express to me was to come in as soon as I was in labour, but I didn't. I waited till I was 8cm. He gave me a bit of ear bashing about it after but I just said I wasn't sure it was real labour

. He didn't make the birth though, he got there after DD2 was born to deliver the placenta.
I also know of another lady who VBA2Ced with him after me so he is definatley pro VBAC although he was on holidays for her birth and his backup David Luiz delivered the baby.

**black_rose** · July 29th, 2011, 01:05 PM

The fact that an Ob is doing a scan on your pelvis is a big sign that they are going to be pro-intervention and conservative.

it was done because dd1 was breach with her hips dislocated inutero, and pprom at 34 weeks. He wanted to check that wasn't a medical reason for it, but it came back clear and, we discussed there was no need for concern with attempting a vbac or worrying about another breach baby with the same hip issues.

**WannabeMum** · August 13th, 2011, 10:33 AM

I'm sure Dennis Price is on your list Kelly, but just wanted to sing his praises (again, lol). I'm currently planning my VBAC - well, not planning it, my body will mostly take care of that, but I'm planning ON it. Dennis has been supportive from day dot, and although my DH is nervous, Dennis has also taken it on himself to reassure my DH that delivering a baby is completely normal and if I go into natural labour, there is absolutely no reason why I can't deliver naturally. To date he has mentioned no restrictions aside from not inducing (um, I'm 100% happy with that, my experience last time was NOT nice). Don't know about his post-dates, but he's happy for me to go at least 2 weeks, which is what I've talked about. I'm certainly not planning on coming straight to hospital. Guess the main thing for him is to go with what Mum wants and support her choices. Guess that's why Mums love him...

**JoyMama** · November 14th, 2011, 11:19 AM

Thanks for all this info. Seeking an ob supportive of VBA2C after tearing during last CS. Where is Dennis Kelly based?
Does anyone know how you can go private/ how much it is etc if you DON'T have health insurance?
Thanks all
xoxo

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