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Re: Arrest of DilationFrom: Henry Gregor (henrygregor@yahoo.com)Thu Aug 3 18:14:36 2006
Respectfully, I didn't say anything about doing a particular section on a particular patient, Sue. Perhaps you are responding to someone else's post. Also, respectfully, a 4 fold maternal death rate is a very challengeable statement. The universe of c/s morbidity and mortality data is a heterogenous world. Scheduled, emergent after minimal, or after prolonged, labor, w or w/o ROM, w or w/o medical maternal comorbidity(ies), w or w/o maternal or fetal distress, or both....one needs to qualify what's being compared. The literature cites numbers all over the map, for all of these categories. More than a few note mortality for scheduled cs w/o labor at equal or less than that of SVD. Some years ago, JAMA published a study comparing SVD and a well defined CS category, with rates reversed for CA and RI. The editorial comment was somewhat amusing, with the commentor noting that perhaps anyone planning such a CS might be advised to pick her state of delivery as carefully as her provider and facility. H Stmidwife@aol.com wrote: Respectfully, Hank, I, on the other hand would have to point out that c-sect carries a 4 fold maternal death rate. I don't think that this is a place to start since babies do engage often in labor, pelvis's do have give and babies heads mold to fit into the pelvis. If her pelvis was that grossly abnormal, I am sure that someone would have ruled her out as a vaginal birth candidate on her initial visit. Sue Colossians 3:12: And so, as those who have been chosen of God, holy and beloved, put on a heart of compassion, kindness, humility, gentleness and patience… Next-gen email? Have it all with the all-new Yahoo! Mail Beta.
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