I was so excited to learn that the CPM's where I live do VBAC's. They don't just do VBAC's.
Thirty percent of all births in Florida done by CPM's were VBAC's.
And I just put all of them at risk by posting that. I was asked not to publicize or publish it because almost all of them are under review or investigation, either across the board or surreptiously. The climate of fear is palpable and protocols control birth at every level, even if you aren't an OB because the OB's set the standard for protocols with their trade union, ACOG. If you are a homebirth midwife, you will be hunted.
What is truly evil, however, is that other midwives, childbirth educators and moms will hunt you as well. If you do VBAC's, you "put the others at risk." At risk for what? For losing their licenses, for being investigated, for being lied about, for losing the right to attend "normal" women. In other words, they are forced to choose who to support and VBAC mothers are not who they choose, even when they still attend them. VBAC mothers are expected to step back for the "good of the many" and to walk a line of obeisance to all other women and care providers. When an OB states HIS policies, we are supposed to be grateful he even takes VBAC patients. When they state (without evidence) that we should be continually monitored, have epidural catheters placed, or birth in the OR "in case" we should be GRATEFUL. We should be quiet. We should thank our lucky stars that a surgeon is willing to waste his time to come watch by our bedside. Hell, some OB's charge $1000 up front, no insurance, for this priviledge. We aren't allowed in water to help ease the pains of labor and we should be grateful for them taking away this coping mechanism. And others will back them up, too. If we complain too loudly, they might stop doing VBAC's all together! Well, I disagree.
The right to choose a VBAC should have women lined up outside of hospitals protesting. Demanding. The media should be writing about the non-evidence based care and assault on these women, the stealing of their civil rights. Midwives, childbirth educators, doulas, mothers, and OB's should all be agreeing on this. And if they don't, it's simply fear at being caught out of the pack and being taken down. The fact that they are allowing women to BE isolated out of the pack and hunted says so much all ready.
Shut up? Sit down? I don't think so. I'm still writing letters and making calls. I may not change things, but I am tired of women being forced to give birth at home without any trained care or agreeing to care that is cruel and uncalled for in the name of appeasing those with the power or those who shudder in fear.