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Re: Elective Primiary C-sectionFrom: Andrew Folley (agfolley@hotmail.com)Tue Dec 20 11:35:49 2005
I jusst did my first primary "patient requested" elective c-section in 20 years, yesterday, on a primip at 38 weeks requesting one because she did not want to go through labor. I think I may start offering the choice of primary cesarean verses trial of vaginal birth at term to each and every patient from now on. I can explain the pros and cons of each and schedule the c-sections. It may take a few years to dispell the notion that vaginal birth is the "right way" for having babies but I am confident that it will come around. I have always prided myself on a low section rate and being very adept with forceps, breech deliveries, twins, VBAC etc as are most of the 50 and older OB's on the list but I am no longer sure if it is worth the fight any longer. C-sections would certainly make an OB-s life a lot easier in terms of on call etc. Andy
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