Vaginal Birth After C-section (VBAC) Statement
The physicians of Campbell County Health take the health and wellbeing
of our patients very seriously. We strive to provide a full range of services,
including maternity services to meet the needs and preferences of each
and every one of our patients.
Vaginal Birth After C-section (VBAC) is not currently a delivery option
in the state of Wyoming, including Campbell County Health. This is the
result of multiple factors from living in a rural area such as available
staffing, distance to tertiary facilities and hospital resources.
The OB and family medicine providers who deliver babies have agreed that
the national standards must be met to offer this opportunity to our patients
with previous cesarean birth. It is not in our patients' best interest,
nor that of their unborn children, to offer a procedure we believe has
inherent safety risks for mother and baby when performed in a rural setting.
There are communities in surrounding states that do offer VBAC as a delivery
option. Although we prefer to care for our patients in Gillette, we are
happy to refer to centers that can provide the labor method that a patient
prefers with the appropriate safety measures in place.
Many of us wish that we were able to provide this option for our patients.
However, until all services can be aligned, which is not only a matter
of choice but a matter of risk and a matter of expense, VBAC cannot be
provided as a delivery option at this time.
Thank you for entrusting your care to us. Please rest assured that you
are receiving the highest quality of care.
Billie Wilkerson, MD; Family Medicine,
2014 CCH Chief of Staff
Jeffrey Anderson, MD; Obstetrics & Gynecology
David Beck, MD; Obstetrics & Gynecology
Angela Biggs, MD; Obstetrics & Gynecology
Michael Jones, MD; Obstetrics & Gynecology
Jennifer Linden, MD; Obstetrics & Gynecology
Donald Parker, MD; Obstetrics & Gynecology
Judith Boyle, MD; Pediatrics
Dave Fall, MD; Pediatrics
Julie Fall, MD; Pediatrics
Landi Halloran, MD; Pediatrics
Kiran Koduri, MD; Pediatrics
Vijaya Koduri, MD; Pediatrics
Roberta Moro, MD; Pediatrics
Tracy Wasserburger, NNP; Pediatrics
Statement from CCH Administration
Campbell County Health (CCH) is committed to providing the safest possible
delivery experience, and does not offer Vaginal Birth After C-section
(VBAC) as a delivery option for patients with a previous cesarean section.
In order to safely allow a VBAC delivery, the healthcare facility must
be able to perform an immediate repeat C-section, due to the risk of uterine
rupture and possibility of fetal injury. CCH is a rural healthcare facility
and unable to provide in-house, 24-hour anesthesia and surgery coverage
of labor and delivery, so immediate repeat C-section services are not possible.
We understand that this policy may present challenges for some of our patients,
who may choose to deliver their child at another facility that provides
VBAC as an option. The safety of our patients is, and always has been
our primary concern, and we will continue to work to improve the services
we provide our community at Campbell County Health.
Vice President of Patient Care Services