Re: OB:  Home births

From: Ronald Ainsworth (ainsron@sbcglobal.net)
Wed Nov 16 11:40:38 2005


What you call a "promise" to allow a VBAC usually represents unrealistic expectations by the patient. When I did VBACs, patients were told the circumstances that would risk them out, they were also given a consent form that they read and signed listing those circumstances. There were still patients who tried to bargain details that were not on the table - continuous monitoring, scalp electrode when ruptured, no inductions, etc.

Jamie <ajfields@pine-net.com> wrote:I've seen this tactic justified by saying that some OBs will promise a VBAC (or vaginal birth under other circumstances) and then renege late in the pgcy when it's more difficult to change providers. I'm not justifying it, but others do.

At Tue, 15 Nov 2005, DoctorJoe@aol.com wrote: >
>In a message dated 11/15/05 10:20:42 PM, garrys@mindspring.com writes:
>
>> Liability, lack of reimbursement and deceit. . .who in their right
>> mind would willing participate in such a situation?
>>
>Liability - takes cojones.
>
>Reimbursement - takes altruism.
>
>Deceit - take a hike. If someone is going to prospectively and knowingly us
>you (your practice) like that, they can't be trusted to do ANYTHING "right."
>
>What do you think a PATIENT would say if the doctor (or other healthcare
>provider) acted the same way? How do patients react when "my doctor told me he'd
>deliver me but when I went into labor, he was out of town and got some stra ger
>. . . ."?
>
>Joe P.

--
JFields, RN, BSN




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