Julie Cann-Taylor responds:

Julie Cann-Taylor

Wyoming Medical Center has become aware of a petition urging us to reconsider our policy against performing VBAC – vaginal birth after cesarean.

We sympathize with a mother’s desire to experience natural child birth. But VBAC is considered a high-risk obstetrical service for both mothers and babies.

A cesarean birth requires the uterine wall to be surgically opened, weakening it for future births. Natural birth in a woman who has had a prior cesarean can rupture the old scar of the uterine wall.

A ruptured uterus can be catastrophic for both the baby and the mother. In such cases, medical response must be extremely rapid. The American College of Obstetricians and Gynecologists recommends the “immediate availability” of an obstetrician, an anesthesiologist, a surgical suite and an operating team to provide an emergent cesarean delivery. The position of our insurance carrier is that “immediately available” in these guidelines means these services would have to be available at any time a patient presented for a trial of labor after cesarean.

In addition to being very costly, our insurance carrier does not allow us to provide this service due to the risk involved. We realize other hospitals in Wyoming may offer VBAC, but they may not have the same insurance carrier. We and our insurance carrier have taken a conservative position in the belief that this best protects the health of the mother and the baby.

WMC is continuously engaged in improving the care we offer patients. We will use the input from this petition to engage the stakeholders in reassessing our position.


Posted on June 04, 2013
Discussion
    • 11 months ago

    And that seems like a good reason for NO ONE to choose to birth at your hospital. You are obviously ill-equipped (using your own statement) to deal with an emergent CS situation, and since no one has a magic ball as to how ANY labor would go, you seem to be saying your hospital can't help anyone who has an emergent situation. At least now we have word straight from the horses mouth that giving birth at Wyoming Medical Center is FAR TO DANGEROUS, seeing as how you aren't capable of dealing with emergencies. Good to know. I'll spread the word!

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  • Camille Hatch PROVO, UT
    • about 1 year ago

    Get a new insurance provider. Or, better yet, work with yours to make a change. Don't push the blame off onto them. Do something about it. Be the change you want to see in the world.

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  • Rebecca Doll EVANSVILLE, WY
    • over 1 year ago

    Unfortunately Insurance companies have been dictating how professionals practice medicine for decades now. Shame!

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