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Re: Elective Primiary C-section From: Andrew Folley (agfolley@hotmail.com) Tue Dec 20 20:09:11 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Anna Meenan, MD: "Re: Suturing second degree lacerations" Previous message: Andrew Folley: "Re: Not really Kick Counts" In reply to: Raymond Stephen: "Re: Elective Primiary C-section" Next in thread: Henry Gregor: "Re: Elective Primiary C-section" I use to argue that as well, steve, but the literature does not support it. Other than for increased risk of wound infections there is not much difference in risks of elective c-section and svd. You have to balance your theoretical risks with the risks of shoulder dystocia, prolapsed cord, abruption, fetal distress, ruptured uterus, breech entrapped heads, etc etc. I do not believe the entity of "medically nonindicated surgery" exists at least not in obstetrics any more. You explain the risks to mom of vaginal birth verses c-section on the baby and she opts for c-section case closed. Bad outcomes are sued no matter what, whether c-section indicated or vaginal birth indicated. >From: "Raymond Stephen" <stephen.raymond@dhhs.tas.gov.au> >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >Subject: RE: Elective Primiary C-section >Date: Tue, 20 Dec 2005 17:36:59 -0600 > >Until you get a fright from a Caesar - secondary PPH, wound infection >with necrotising fasciitis, vesico-cervical fistula, transection of the >ureter, spontaneous rupture of the scar at 36 weeks. Then what will >your opinion be about medically nonindicated surgery? > >Steve > >-----Original Message----- >From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Andrew >Folley >Sent: Wednesday, 21 December 2005 5:43 AM >To: Multiple recipients of list OB-GYN-L >Subject: RE: Elective Primiary C-section > >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 > >Tasmania Together 5 Year Review: Have your say >http://www.tasmaniatogether.tas.gov.au/ Next message: Anna Meenan, MD: "Re: Suturing second degree lacerations" Previous message: Andrew Folley: "Re: Not really Kick Counts" In reply to: Raymond Stephen: "Re: Elective Primiary C-section" Next in thread: Henry Gregor: "Re: Elective Primiary C-section"

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