Legal Rights and VBAC

The Giving Birth With Confidence blog has a new series titled A Woman’s Guide to VBAC: Navigating the NIH Consensus Recommendations. It includes a section on Legal Rights and Protections for VBAC [Vaginal Birth After Cesarean].

Pit Police

What will it take for me to break my 10-month-long blogging silence (more on that later)? This situation out of Australia (HT The Unnecesarian). Although the health service has since apologized, it is things like this make me truly afraid for the direction our civilization is heading.

Is VBAC illegal? Is homebirth illegal?

The VBAC Facts blog has a great explanation of the legalities of VBACs and homebirth. To summarize, VBAC is legal everywhere in the US. Homebirth (whether VBAC or not) is legal everywhere in the US. The only legal restrictions are placed on providers, what they may do and where they may do it.

You may also be interested in my previous blog post, Is it legal for Florida midwives to do VBACs?

Oh, and if you haven't read it yet, don't miss Time magazine's article The Trouble With Repeat Cesarians in conjunction with ICAN's recently-released report on the organization's hospital survey. I especially liked this quote from the Time article:

But while many obstetricians say fewer patients are requesting VBACs, others counter that the medical profession has been too discouraging of them. Dr. Stuart Fischbein, an ob-gyn whose Camarillo, Calif., hospital won't allow the procedure, is concerned that women are getting "skewed" information about the risks of a VBAC "that leads them down the path that the doctor or hospital wants them to follow, as opposed to medical information that helps them make the best decision." According to a nationwide survey by Childbirth Connection, a 91-year-old maternal-care advocacy group based in New York City, 57% of C-section veterans who gave birth in 2005 were interested in a VBAC but were denied the option of having one.

Hm. Why give patients information about a "procedure" that is not offered by you or allowed by your hospital?

Poland debates paying for childbirth pain meds

From Anna Wilkowska-Landowska ("Poland Says No to Pain-Free Childbirth"), the Polish health system no longer plans to pay for childbirth drugs. The Ministry of Health Director suggested (in an article in a Polish newspaper) that not only can the state budget not afford to ensure free anesthetization during childbirth to all Polish women, but that there are not enough anesthesiologists in Poland. Says Wilkowska-Landowska:

In Western European countries, as well as in Poland's neighboring countries, childbirth anesthetization is considered a standard service provided to women. The question becomes, then, why do Polish women have to pay for it? This situation divides the Polish women into two groups: those who can afford to pay for anesthetization and those who cannot afford to pay for something to which they are entitled.

The article also mentions that since the Polish government is encouraging families to have more children, the Minister's statements only make the decision to have a baby more difficult for women.

Well, I guess it's another strike against socialized medicine.

Birth Center Grand Opening - Cleburne, Texas

If you live near the Dallas/Ft. Worth metroplex - particularly the southwesternmost portion - you might want to check out the newest birth center:

We are thrilled to announce the Grand Opening Celebration of Edenway's Cleburne Birthing Center on Saturday, December 6, 2008 from 11am to 4 pm at 805 N Main, Cleburne, Texas 76033. Come see how we can help you achieve the birth you desire. Meet our staff! Tour our facility! Bring the whole family for FREE refreshments! FREE pregnancy testing! FREE chair massages! Door prizes! Kids' jump house! Free info about natural childbirth, waterbirth, fertility health, baby slings, massage, herbs, birth photography, and chiropractic care in pregnancy… This will be a fun event for the entire family! Visit us at www.cleburnebirthingcenter.com or call 817-558-BABY for more information.

Minimum Length of Hospital Stays

The Raising Women's Voices blog notes that new federal regulations take effect January 1, 2009 for group health plans and health issuers concerning minimum length of hospital stays for mothers and newborns following childbirth. The regulations can be found here: 73 FR 62410 (.pdf).

When Faith and Health Care Clash

When faith and health care clash for French Muslims:

The law in French state hospitals is clear. Women can request women doctors and probably get them most of the time. But if the attending doctor that night is a man, as happened in this case, the woman — and in this case, her husband — have to accept that. When this woman went into labour in November 1998, the couple rushed to a hospital in Bourg-en-Bresse and a midwife examined her. She recognised a complication and called the doctor, but the husband physically blocked him for half an hour because he did not want a strange man touching his wife. By the time he gave in, it was too late for a caeserian and the baby had to be delivered by foreceps. Little Mohammed is now 100% handicapped.

The father sued the hospital for €100,000 in damages and €10,000 in personal compensation. The court rejected this and blamed the father, saying: “The child’s state is totally attributable to the attitude of Mr. Radouane Ijjou.”

The court additionally fined the father for court costs.