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 at 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
Judith Boyle, MD; Pediatrics	Dave Fall, MD; Pediatrics
Julie Fall, MD; Pediatrics	Landi Halloran, MD; Pediatrics
Kiran Koduri, MD; Pediatrics
Roberta Moro, MD; Pediatrics	Tracy Wasserburger, NNP; Pediatrics

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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.

Deb Tonn
Vice President of Patient Care Services