Being Pregnant

Are VBAC Ban’s Legal?

Posted by danielle625 on March 15th, 2011 at 11:10 am

GettyImages sb10069186e 001 199x300 Are VBAC Bans Legal?If I had a dime for every piece of misinformation I have heard in the past three years about VBAC (vaginal birth after cesarean) I would be rich!  Unfortunately for mothers all over the country, and world, this misinformation is often louder and more wide spread than the real information.

I have heard comments like VBAC is illegal in certain states, which is a blatant lie!  It is not illegal to give birth vaginally anywhere… can you imagine if it was?  What in the heck?!

There is also conflicting information on the legality of hospitals banning VBAC since 1/3 of hospitals across the country currently do not allow the procedure.

In my own personal research I found a lot of great information from The International Cesarean Awareness Network, which is a world wide support group for mothers who have had previous cesarean births.  One of the most useful pieces of information I came across is their informative white paper on your right to refuse surgery, and what to do if your local hospital has banned VBAC.

First things first!  The question many women want to have answered… Can a provider force a mother to undergo surgery… whether it be a repeat c-section, or a c-section in general during labor.  And the answer to that is no! As a patient, you have the legal right to refuse any treatment you do not agree with, which includes a c-section. From the ICAN white paper:

The doctrine of informed refusal is upheld by common law, case law, Constitutional law, federal law, state law, state mandated medical ethics and the ethical guidelines of the American Medical Association (AMA) and the American College of Obstetricians and Gynecologists (ACOG).

Simple enough!   No matter what someone tells you… there are laws regarding your own choices as a patient, and a c-section just happens to be one of them!

Another question and concern I have heard a lot is about hospitals refusing to care for women in active labor unless they consent to cesarean surgery, if they have had one or more previous c-sections which is also illegal under federal law.

The federal Emergency Medical Treatment and Active Labor Act (EMTALA) requires hospitals to admit women in active labor and to abide by their treatment decisions until after the baby and placenta are delivered.
The act was originally designed to prevent hospitals from “dumping” patients who couldn’t pay but has since been widely used to hold hospitals accountable for violating other patient rights, including the right to refuse treatment. If your hospital threatens to perform a cesarean despite your refusal, notify them that they are in violation of your rights under EMTALA and that you plan to file a complaint. To find out where to report an EMTALA violation, go to MedLaw.

Meaning, no matter what someone tells you, these are your rights. Whether or not you can pay, or simply want to make your own choices for birth, including VBAC, it is your right. Period!

So in a nut shell, while hospitals certainly can have a VBAC ban it is illegal, and unethical for them to enforce, especially in the case of a mother challenging the validity of their ban.

photo: getty images

 Are VBAC Bans Legal?

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5 Comments

[...] Are VBAC bans legal? [...]

Sunday Surf, March 20th commented on Mar 20 11 at 9:16 am

I love your article & have told this information to many many women over the years however I would love info on how to deal with a provider who releases you from their care for not consenting to a cesarean. I had a doula client a year or so ago who had a provider on board for VBAC her entire pregnancy, then at her 34 week appt the provider told her she needed to schedule a cesarean at 39 weeks or find another provider. She was unable to find another provider and ended up having a VBAC in the ER at another hospital, but she was highly uncomfortable & scared in doing things that way.

Karen commented on Mar 15 11 at 12:18 pm

While it is illegal… force c-sections DO happen.

I was gassed and my baby was surgically removed from my womb, WITHOUT CONSENT. I was seperated from my husband on the way to the OR after we were told we were moving there “in case of emergency” and so we could more closely monitor my son. While laboring on a birthing ball, the monitor was slipping & not keeping an accurate watch of my sons heartrate. An internal monitor was placed in my sons scalp, but wasn’t plugged into the machinery (I expected that to happen in the OR). On the way to the OR, my husband was sent into a room to change into scrubs. When he exited that room, he was told that he couldn’t join me in the OR because I was already being put to sleep for surgery. When I got to the OR, medical staff immediately began to prep my body for surgery. Since I wasn’t having surgery, I said that I didn’t want a csection and that IF I needed one for the sake of my baby, then I needed my husband to come to me so we could make the decision together. I was told that my hsuband was on his way to me. Then, I was told to breathe into a different face mask because my baby needed more oxygen & the new mask had a better seal against my face.

I was not given oxygen for my baby. I was gassed. I found out that I was having a csection when I woke up in recovery several hours later. NO ONE told me ahead of time that I was going to have one. NO ONE came to me afterward to explain what happened. My discharge paperwork fromthe hospital makes no mention of me having had a csection. I received NO wound care or post-operative instructions.

I wasn’t there when my son was born. I wasn’t there when he was bathed for the first time (also performed against my wishes). When my son and I met for the first time, several hours after his birth, I was a drugged groggy post-operative mess. Because I was still working the anesthesia out of my system, I couldn’t hold him. Because I had an oxygen mask on my face, I couldn’t kiss him. Those experiences were taken from me and no amount of regret or wishing or even apologies or lawsuits can ever give us those moments back..

My baby is 7 weeks old today. I’ve requested a full copy of my hospital records, so I can read what it says before I confront the hospital and medical staff. I’m seeing a counsellor to try to overcome my new fear of doctors & hospitals, my disappointment at not being present at my sons birth, and the resentment I feel toward myself, my husband, and the hospital staff that allowed this to happen to me.

I approached an attorney for advice & was told that my emotional wounds are not ‘damages’, my surgical wound aren’t ‘damage’, so I have no grounds for a medical malpractice suit (or at least not enough potential financial compensation to gain their interest).

Women should be screaming mad over the treatment some of us get just because we’re giving birth, something we’ve been doing since Adam & Eve began to beget.

Dawn commented on Mar 20 11 at 6:13 pm

Both I and my husband from day one want to VBAC but I dont know if Tricare will cover it.

Amanda Snyder commented on Oct 19 11 at 2:59 pm

I asked my state’s attorney general to issue and opinion on this in the spring of 2007 and their response was that VBAC bans are legal. When I discussed the issue with the AG who wrote the opinion she told me that having the ban is legal but enforcing it on the individual level is not.

Barbara Stratton

Barbara Stratton commented on Nov 01 11 at 11:21 am

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