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Re: Arrest of Dilation From: Dr Eberhard Lisse (el@lisse.NA) Fri Aug 4 08:09:08 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DMECNM@aol.com: "Fri: Genetics: I had a boy" Previous message: rmodugno@aol.com: "Arrest of dilation - yo, Dr Siegel" In reply to: D. Ashley Hill: "Re: Arrest of Dilation" Next in thread: Jamie: "Re: Arrest of Dilation" Reply: Jamie: "Re: Arrest of Dilation" Ashley, I would suggest if one estimated maternal morbidity and mortality associated with practices unrelated to delivery such as being run over by a car, stabbed, shot or killed dead through other ingenious means, one would find that the risk for a C/S is so much lower than any of these practiced enthusiastically that they are negligible, in particular if the C/S is done electively. And by the way, this morbidity crap is quite subjective, patient or observer, for example fever post partum, managed well, and having no sequelae don't bother most of my patients none. Or blood loss. I like transfusions as much home deliveries, whether it's a difficult hysterectomy, vaginal delivery or bypass, I think I have transfused 10 units of packed cells in the last 6 years for diagnoses other than Malaria, so, if they end up with an Hb of 10 or 8 makes no difference in management. el on 8/4/06 1:50 AM D. Ashley Hill said the following: > I would add that the data suggesting an increase in maternal morbidity > with cesarean delivery has been disproven with regards to elective > cesareans. One cannot compare patients having an elective cesarean with > a cesarean after a long labor. In fact, there is some evidence to guide > us from a large series of patients in Nova Scotia (2003), which I > abstracted below from Medline. There are other studies supporting this > premise. Using these data, one could conclude that the informed consent > process should include information that having labor and ending up with > a cesarean is a setup for the most morbidity, as a physician patient > explained to me after requesting an elective cesarean. As Henry > suggests, it's tough to give informed consent about vaginal delivery, > assisted operative delivery, and cesarean delivery because of all the > variables with mom, the labor process, and the baby. -- Dr. Eberhard W. Lisse \ / Obstetrician & Gynaecologist (Saar) el@lisse.NA el108-ARIN / * | Telephone: +264 81 124 6733 (cell) PO Box 8421 \ / Please send DNS/NA-NiC related e-mail Bachbrecht, Namibia ;____/ to dns-admin@na-nic.com.na Next message: DMECNM@aol.com: "Fri: Genetics: I had a boy" Previous message: rmodugno@aol.com: "Arrest of dilation - yo, Dr Siegel" In reply to: D. Ashley Hill: "Re: Arrest of Dilation" Next in thread: Jamie: "Re: Arrest of Dilation" Reply: Jamie: "Re: Arrest of Dilation"

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