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I find it striking that some insurance companies are cited for requiring that for VBAC attempts to be covered, "physicians and the facilities in which they perform VBACs have to demonstrate that a physician capable of monitoring and performing an emergency cesarean delivery is present" ("Insurers Set Criteria for VBAC Coverage," Feb. 1, 2005, p. 1).
I was most intrigued, however, by Dr. N. Michelle Sang's becoming "more selective about providing VBACs" because of this change. She stated, "We tell our patients that we cannot guarantee a trial of labor if their physician is not available ... or if there are multiple patients in labor at more than one hospital for our office."
This sentence is perplexing. I believe she is saying this: If we are short on physicians, or we are time challenged, then we will correct this problem by not staying with you for your VBAC attempt and we will shorten your labor with a cesarean section.
If patients' physicians are not available for a VBAC attempt then how do they become available for a cesarean section?
If we were really willing to take a stand, I believe that ...
Source: HighBeam Research, Vaginal birth after C-section.(LETTERS)(Letter to the Editor)