VBAC+in+West+County

** VBAC information for prenatal providers in West County **

Forms:

For women with a prior cesarean planning to deliver at ABMC, please try to schedule them to see Dr. Yalom at around 32-34 weeks for a consultation visit to arrange for elective cesarean versus planned VTOL. If she is not available at the correct time, please send them to high risk clinic for a similar consultation.

If the situation is clearly appropriate for VTOL then consultation is not mandatory, and if it is clear that your patient needs or wants an elective cesarean, she also can be sent to EBPMA for scheduling and H and P, if Dr. Yalom is not available. If you have specific questions relating to eligibity, you may chart check with question to the Friday pm prenatal clinic or the 3rd Tuesday high risk OB clinic.

Currently Dr. Eve Yalom is working on Friday afternoons off of my roster (Bliss). Priscilla is working hard to get her an actual roster and hopefully a full day schedule--we are currently constrained by nursing and space limitations. Feel free to overbook in the clinic and specify on the roster consultation with Yalom regarding delivery plan AND remember to make a subsequent appointment with yourself to continue prenatal care.

If your patient is planning to deliver at CCRMC, feel free to send them to myself, Dr. Shah, or Dr. Lehman for a similar consultation visit if you are at all uncomforable with the counseling. Remember, for all patients planning a vaginal delivery, circumstances can present at the time of delivery that may lead to the recommendation for a cesarean birth.

The ABMC consent and the CCRMC consent have similar content and I have no objection to using the ABMC consent in West County, if you would like to consent in clinic in order to simplify the process. She will sign another on admission to CCRMC for either VTOL or cesarean delivery regardless. We are not planning to adopt the ABMC consent at CCRMC. ABMC has similar requirements. At both hospitals, there will be some variance in enthusiasm for VTOL versus repeat cesarean, depending on the physician who is on call at the time of her delivery.

I will try to locate the EBPMA/ABMC VBAC brochure and compare it to the CCRMC brochure (which is a little old and probably should be updated) and let you know which is most appropriate to hand out.

Thank-you for all your interest in improving the prenatal care and counseling to our prenatal patients in West Couinty.