If it is any assistance my first VBAC occurred under the care of an obstetrician in a private hospital. He actually sounds a lot like yours does ie. will to do breech VBACs.
I was able to negotiate him around on everything I wanted including no IV or bung. The only compromise I made was on monitoring where I agreed to 20mins in the hour although in reality this did not happen as I refused to get out of the shower - I was not hassled about this. Like you I had a midwife as a support person who was there with me under private arrangement and that worked really well. In my case it was also handy because my OB knew her and trusted her judgement (Townsville is a small town) so he did interfere in the support she gave me.
VBAC in a private hospital can be done, the risk of "failure" is higher but if you are strong, and you and your support team stick as close to your plan as is logical, question every intervention no matter how small and explore the alternatives to the interventions being suggested (eg. bath instead of epidural, standing upright to delivery instead of forceps lying down) and just be strong and positive you will have a very good chance. The only other thing I would say is stay at home for as long as possible. If your midwife is at home with you then you are covered for an unexpected homebirth if things go more quickly than expected.
On the surgery thing I found the same information that Justine sites. The decision to incision time is rarely within the 30min timeframe recommended for emergency caesareans - particularly in hospitals that do not have a resident anaethetist. In my case my emergency caesarean occurred 1hr 45mins after I was told my son would die if I didn't have it!!
Debby
The new MSN 8: smart spam protection and 2 months FREE* -- This mailing list is sponsored by ACE Graphics. Visit
