Re: sponses: Does it matter how the baby is born?(long)
From: Anna Meenan, MD (annam@uic.edu)
Tue May 24 19:46:46 2005
Zach! Where you been?
--
Anna Meenan, MD
At Tue, 24 May 2005, Zachariah Newton wrote:
>
>The goal is good outcome. In OB, it can be achieved vaginally or by c/s.
>Just like stock traders who buy and sell by wiggles, the individual choice
>has but one measure: a healthy mom and a healthy baby or a profit vs a loss.
>The Monday morning quaterbacking are for those with an agenda.
>
>Zach (hey, gang)
>
>--
>
>>>----- Original Message -----
>From: "Robert J. Carpenter, Jr. MD" <zygote@icsi.net>
>To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net>
>Sent: Monday, May 23, 2005 11:23 PM
>Subject: Re: Responses: Does it matter how the baby is born?(long)
>
>>I learned something from an ob who is as bright as anyone comes - 30+ years
>>ago.
>> "My only duty is to get a good baby and a good mother - if is vaginally
>> that is fine and
>> if not that's okay too!"
>>
>> His name is James Friedman - and he is retired. I learned many other
>> things from
>> him after that night!
>>
>> Bob
>>
>> On 23 May 2005 at 19:22, Joanne Bulley, MD wrote:
>>
>>> Well ... Good comments to this all around ...
>>>
>>> My experiences:
>>>
>>> First a vaginal birth after 3 nights of false labor (sleep an hour
>>> then go in to work - as a resident) ... 30 minute second stage (from
>>> -3 stantion to delivery) where they turn off the monitor sound (so I
>>> wouldn't hear the decels) and rolled me onto my left saide (also away
>>> from the monitor so I wouldn't see the decels) ... APGAR of 3&8 (I
>>> think - but she just graduated from Mt Holyoke College Sum Laude - so
>>> I guess I can't sue anyone). Couldn't nurse right away because of
>>> grunting and flaring - couldn't pee at all at first (but managed to
>>> after straight cath)
>>>
>>> Second - the kid was non stop somersaults from 34 weeks on. Labored
>>> ... pushed for over 2 hours - head was asynclitic overriding the
>>> symphysis -boy dod that hurt) - finally had the C/S - was nursing and
>>> bonding in the recovery area within 30 minutes of delivery - could pee
>>> right after the cath came out the next AM ... could SIT COMFORTABLY
>>> within 24 hours of birth and nurse the baby without feeling that
>>> bruised bottom. (he has ADD, depression, cyclothymia, an expressive
>>> language learning disorder and just flunked out of freshman year of
>>> college). (shoudl I sue?)
>>>
>>> I would go for EITHER an "easy" vaginal birth ... or C/S without
>>> labor but not the labor & push for 2 hours then C/S.
>>>
>>> The kids are loved either way - and unless you are totally psyched
>>> that the only thing that "makes you female" is having a vaginal birth
>>> ... both are births ... and having strep throat without antibiotics
>>> and having cataracts without surgery are alos "natural" ... "Natural"
>>> does not mean "healthy" or "best"!
>>>
>>> If those answering the questions are clients / patients at perinatal
>>> psyche centers - then they are obviously having issues with how they
>>> birthed -- but those issues can be evaluated and or counselled in a
>>> way that validates the thought that the woman involved SHOULD feel
>>> that her womanhood was ripped from her (and she can continue to be
>>> disabled by something that was just part of life - as my son does) --
>>> or she can be counselled about whatever loss she felt and assisted in
>>> understanding that it is not necessarily something to feel disabled
>>> by.
>>>
>>> But we are not going to change some minds and as others have said -
>>> most is out of our hands and folks have to campaign for the reforms
>>> etc if we are to be able to have some of the choices and to practice
>>> the "art" of obstetrics (before those of us that know some of the
>>> information and techniques for difficult - but possible vaginal
>>> births).
>>>
>>> Joanne
>>>
>>> At Sun, 22 May 2005, Stmidwife@aol.com wrote:
>>> >
>>> >Here are some responses, I from some of the people at the perinatal
>>> >pysch center in Santa Barbara, not sure which one, I posted to two
>>> >facilities. There were 3 responses as of yesterday.
>>> >
>>>
>>> --
>>> Joanne Bulley, MD
>>> Keene, NH, USA
>>>
>> Robert J. Carpenter, Jr. MD
>> 6624 Fannin, #2720
>> St. Luke's Medical Tower
>> Houston,TX 77030-2339
>> 713-795-4600
>>
