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Hi,
I was just browsing through the questions, seeing if anyone answered mine when I saw yours...I don't know how it is in Minnesota, but here in New Hampshire I'm finding that there seems to be a trend similar to what you're facing in relation to the number of Doctors and even Midwives denying VBACS. Here's what I DO know. Yes, you have to sign a consent form for a C-section to be perfomed on you...or someone can be enlisted to sign it for you if, for some reason, you are not able. I think the question for you is, how much do you really want it? The vaginal birth, that is... If the answer is "a lot" then maybe you should just go with the hospital that's 45 minutes away. For my first delivery...36 hours followed by hasty c-section that was pretty much taken out of my hands as well!--I went to a hospital that was about 50 minutes from where I lived and just prepared well in advance! Only you can determine how comfortable you are with that plan...but since you have had four other vaginal births before, maybe you should just weigh your options. I don't know how I feel about what I'm going to do for my next one yet (my midwives say that their policy is to allow a woman to try VBAC after ONE c-section delivery....my sister's physician denies any VBAC's at all) but I do know that it's nice to have the option! Good luck!

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