Re: Florida Amendments
From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Wed Nov 3 20:08:17 2004
Ashley:
What a predicament, and the low risk VBAC (an oxymoron from the
liability perspective) might better be called the VBAC with a prior
vaginal delivery.
Anyway, it would be a shame to exclude them, as well as other good VBAC
candidates (breech in labor for Ob #1 comes to mind).
That said, can't blame you for not wanting to be the dumping ground.
I bet some people will plan repeat sections at 39-ish weeks and not show
up for the date, and await labor, against advice.
Garry
At Wed, 3 Nov 2004, ainsron wrote:
>
>What are you going to do with the so-called "low risk VBAC?" For example,
>the patient who has had a previous vaginal birth prior to her C/S and the
>patient who has previous successful VBAC? Those are the ones I have the
>most difficult time reconciling risk with. Sorry about the rotten law, that
>is the most ridiculous use of a referendum I've heard of. When the people
>of Florida cannot get medical care, they may realize too late that they have
>reaped what they have sown. I doubt a mass exodus of physicians will occur,
>but you can bet that recruitment will be difficult to impossible in high
>risk specialities such as ours, ortho, neuro, etc.
>
>Ronald E. Ainsworth
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of D. Ashley
>Hill
>Sent: Wednesday, November 03, 2004 10:57 AM
>To: Multiple recipients of list OB-GYN-L
>Subject: Florida Amendments
>
>A quick follow up of our previous discussion:
>
>All 3 Florida liability amendments passed. Amendment 3 limits trial
>lawyer's reimburement for malpractice cases. Amendment 7 opens up
>previously confidential peer review to public scrutiny. Amendment 8
>strips a physician of his or her medical license after 3 "strikes" from
>a trial, medical board, or arbitration decision.
>
>I have decided today that our private practice, residency faculty
>practice, and midwifery group will no longer offer elective VBACs. We
>were just about the only local group offering this, and I do not want to
>be a repository for all patients desiring VBAC in Orlando, especially
>since many of these had had multiple previous sections but still wanted
>a vaginal delivery, and because the liability risk of a ruptured uterus
>is tremendous. Further, it's going to be hard enough to recruit new
>physicians. We'll see how others adjust to this new amendment over the
>next 6 months.
>
>Ashley
>
>--
>D. Ashley Hill, MD
>Associate Director
>Department of Obstetrics and Gynecology
>Florida Hospital Family Practice Residency
> and Loch Haven Ob/Gyn Group
>Orlando, Florida
>
--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA
