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Re: VBA3CFrom: ainsron (ainsron@sbcglobal.net)Wed Feb 11 18:26:39 2004
The pros and cons of VBAC are a little more involved than your argument suggests. At this point the Ob in the trenches is more likely to be in the no camp than the yes camp on the question of VBAC. Like it or not, it involves our medical legal risk as well as the patient's medical risks. These two short references in Contemporary Ob/GYN highlight the arguments for and against VBAC, many of which we have already brought up. http://obgyn.pdr.net/be_core/MVC?mag=g <http://obgyn.pdr.net/be_core/MVC?mag=g&action=viewArticle&y=2003&m&d& article=/be_core/content/journals/g/data/2003/1201/gcgreenevbac.html&title=V BAC:@Is@it@worth@the@risk?@No.&template=past_issues_show_article.jsp&navtype =g> &action=viewArticle&y 03&m&d&article=/be_core/content/journals/g/dat a/2003/1201/gcgreenevbac.html&title=VBAC:@Is@it@worth@the@risk?@No.&template =past_issues_show_article.jsp&navtype=g http://obgyn.pdr.net/be_core/MVC?mag=g&action=viewArticle&y=2003&m== 12&d&a rticle=/be_core/content/journals/g/data/2003/1201/gcsimpson.html&title== VBAC: @Is@it@worth@the@risk?@Yes.&template=past_issues_show_article.jsp&navtype=g Ronald E. Ainsworth -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Chrisa93@aol.com Sent: Wednesday, February 11, 2004 11:33 AM To: Multiple recipients of list OB-GYN-L Subject: Re: VBA3C I fully understand what informed consent is, but it seems to me like the risks of "death" and other horrible things are often played up to a woman who wants to plan a VBAC, yet the risks of c/s are dismissed (this may not be true for everyone on this list, but I have seen it so often with women I work with). Women make the choice to have RCS because their doctors make them believe they are needlessly risking their babies lives to plan a VBAC, yet real risks are present with planned surgery and doctors play those risks down. I don't remember who made the response, but he said that he would be sure the woman knew their was a real risk of dying if she had a VBAC. That may be true, but there is also a real risk of dying with a c/s, and I know that the risks of VBAC are played up more to pregnant women that the risks of VBAC. Furthermore, the risks to subsequent pregnancies and subsequent babies are played down. You may say you offered informed consent, but this sounds a lot more like coercion to me. JMHO, Chris
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