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Re: VBAC pt update From: Elrod Darryl G MAJ 48 MDOS/SGOBO (Darryl.elrod@LAKENHEATH.AF.MIL) Sat May 21 01:48:55 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Robert J. Carpenter, Jr. MD: "Re: Kiellands with rotation" Previous message: Stmidwife@aol.com: "Re: VBAC pt update" Maybe in reply to: Elrod Darryl G MAJ 48 MDOS/SGOBO: "VBAC pt update" I would like to see us take care of VBAC patients. We have at most one candidate a month, so it wouldn't impact our call schedule much to stay in house for one labor a month. The problem with implementing that is that others want to have two OBs, peds, anesthesiologist, OR scrub tech and OR nurse all in house during the labor. There is no way with real-world manning that we could feasibly make that happen. So, VBACs aren't happening here. As I see things (maybe slightly skewed) with a risk of rupture of less than 1%, at the rate of 1 VBAC/month we would likely go 7-8 years before having a complication like that. If we are smart about not inducing these women, not allowing them to go past say 41 wks, etc we should be able to lower our perceived risk even lower. As my program director always said "Take the easy ones, give up on the hard ones" Glen ________________________________ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of -- ________________________________ Stmidwife@aol.com Sent: Friday, May 20, 2005 11:46 PM To: Multiple recipients of list OB-GYN-L Subject: Re: VBAC pt update And what was your opinion? Sue In a message dated 5/20/2005 6:51:25 AM Pacific Standard Time, ob-gyn-l@obgyn.net writes: As much as I fussed about not spending our hospital budget sending these women, (and this woman in particular) to the NHS for care, they would rather send them away as take the risk of complications here. Glen Next message: Robert J. Carpenter, Jr. MD: "Re: Kiellands with rotation" Previous message: Stmidwife@aol.com: "Re: VBAC pt update" Maybe in reply to: Elrod Darryl G MAJ 48 MDOS/SGOBO: "VBAC pt update"

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