Re: OB: Battle Lines Drawn Over C-Sections

From: art fougner, md (evsono@pipeline.com)
Sun Aug 28 11:16:17 2005


I wonder if the woman who elects to attempt a Home VBAC realizes that, theoretically, she could be prosecuted for child endangerment should her uterus rupture? Given this country's legal climate, it could happen ...

art

At Sun, 28 Aug 2005, Dr. Ainsworth wrote: >
>At Sat, 27 Aug 2005, Douglas Krell wrote:
>>
>>Our hospital has 24 hour anesthesia and in-house OBGYN coverage, thus VBACs
>>are offered
>>since we can get patients into the OR and the baby delivered within 15
>>minutes of making the diagnosis of a uterine rupture.
>>
>>In hospitals where this cannot reliably be done, it's not "my uterus, my
>>choice", but rather
>>"my uterus, my baby has NO choice".
>>
>>The fetus is the one who takes the greatest risk with TOLAC/VBAC. How many
>>people make that clear
>>to their patients?
>>
>You're fortunate to have that luxury. Anyone who doesn't make it clear
>to his patient that the risk of VBAC is greatest for the baby isn't
>reading the literature, isn't talking to his patients, and shouldn't be
>practicing obstetrics. That said, the group of patients who do not
>accept local limitations are saying "damn the torpedoes, full speed
>ahead."

--
art fougner, md

"If you don't know where you are going, you will wind up somewhere else." Lawrence Peter Berra





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