The only person who can decide on the safest place to give birth is the mother.
The safest place for her to birth is the place she is most relaxed and comfortable. This allows for physiological low risk birth, without the need for intervention, and without creating extra risk.
Forcing a woman to birth in the hospital, especially after a surgical birth, which may have been traumatic, is highly likely to create a dysfunctional birth and a higher risk to both mom and baby.
Considering the risk of catastrophic uterine rupture is so low, and is even lower that it would not be recognized earlier enough to transfer to the hospital, this is not enough reason to require women to birth in hospital for a VBAC.
Understanding that the risk for repeat Cesarean IS higher than the risk of VABC, it is important that we facilitate every factor that will lead to a normal low risk vaginal birth, including mother’s choice of birthplace.
Please do support women’s rights to choose their birth place by signing this petition: https://www.change.org/en-CA/petitions/saskatoon-health-region-remove-ban-on-midwife-support-for-home-birth-after-caesarean-hbac#share