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Re: OB: NY Cesarean Boom From: acmidwife@netscape.net Thu Dec 7 09:51:52 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joe Cutchin: "Re: OB: NY Cesarean Boom" Previous message: Andrew Folley: "Re: OB: NY Cesarean Boom" In reply to: D. Ashley Hill: "Re: OB: NY Cesarean Boom" Next in thread: acmidwife@netscape.net: "Re: OB: NY Cesarean Boom" Reply: acmidwife@netscape.net: "Re: OB: NY Cesarean Boom" Incredibly sad and disturbing. Joe C... thanks for the response and Ashley, thanks for chipping in. My husband and lived in Central America for a while. While we were down there we helped set up on "off shore" medical college that does their residency program in the US. We were working with physicians from all over Cetral and South America and Europe. Very interesting experience when it comes to standardizing anything. Any rate, the area we were in had a CS rate around 80%. They charged $125 US per CS. Total status symbol for the locals (really). The problem we were facing on a pretty regular basis was uterine rupture in subsequent pregnancies if they went into labour and did not get care. Yes, they were doing classic incisions. The OB to patient ratio was about 1 to 10,000. The only surgical suit was about 2.5hrs away on a bumpy road..... disaster waiting to happen. Women were dying in the ER of the hospital with the suit b/c the no one was able to operate at that time. I realize, this is a far, far cry from the US and that the classic incision is not utilized very often any longer. Still.... I do wonder how this trend would effect women should a national disaster strike. It is appalling that litigation dictates what is becoming routine practice. Not to mention the trend toward "elective" CS. Absolutely amazing. ac mase CNM PS- The "informed consent" issue is a can of worms. More sticky daily. "How do you define 'informed'? Now, is that the same way you define it on Monday? Tuesday? Wednesday?" It is ridiculous. -----Original Message----- From: dahmd@cfl.rr.com To: ob-gyn-l@dns.obgyn.net Sent: Thu, 7 Dec 2006 10:16 AM Subject: Re: OB: NY Cesarean Boom One other issue: in our area several legal firms advertise that you should visit them if you have had a baby with any problems, because "your doctor or hospital may have been negligent by not performing a c/section fast enough." Thus, many patients now feel that c/section is the "safest" way to have a baby. They come in and ask for it without labor, or, if there are any FHR abnromalities whatsoever, they want one one the spot intrapartum. It makes for fascinating informed consent discussions. A national average section rate of 50% is my prediction, also, probably within 5 years. Several hospitals in Florida are very close to that already. Ashley t Thu, 7 Dec 2006, Joe Cutchin wrote: > >Two reasons: First is patient desire. Second is that physician does not >want to spend 7 years in graduate training and find his life's career >threatened by junk science( I include EFM) and a debunked lousy legal >system. As Art would say, I might be wrong but I've been there. Joe C > >acmidwife@netscape.net wrote: >> Why so high, Joe C? What leads you to believe it will reach 50%? Just >> curious. ac mase CNM >> >> -----Original Message----- >> From: forcep@intercom.net >> To: ob-gyn-l@dns.obgyn.net >> Sent: Thu, 7 Dec 2006 9:11 AM >> Subject: Re: OB: NY Cesarean Boom >> >> Our rate here now is 35%. Some time ago I predicted 50% and I think I >> will be proven correct. Joe C >> >> art fougner, md wrote: >> >> > The number of Caesarean births has shot up 7 percent at the city's 44 >> > maternity hospitals, according to a report released yesterday. >> > > In all, 28.6 percent of city-hospital births were delivered via >> > C-section in 2004, up from 26.6 percent in 2003. >> > > > >> http://www.nypost.com/php/pfriendly/print.php?url=http://www.nypost.com/seven/12052006/news/regionalnews/caesarean_baby_boom_regionalnews_carl_campanile.htm >> > > -- >> > art fougner, md >> > "May The Wings of Liberty Never Lose a Feather." - Jack Burton >> > > > >> ------------------------------------------------------------------------ >> Check Out the new free AIM(R) Mail >> ------------------------------------------------------------------------ >> ------------------------------------------------------------------------ >> ------------------------------------------------------------------------ >> <http://pr.atwola.com/promoclk/100122638x1081283466x1074645346/aol?redir=http%3A%2F%2Fwww%2Eaim%2Ecom%2Ffun%2Fmail%2F> >> ------------------------------------------------------------------------ >> -- 2 GB of storage and industry-leading spam and email virus protection. >> ------------------------------------------------------------------------ >> ------------------------------------------------------------------------ -- D. Ashley Hill, MD Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency Medical Director, Loch Haven Ob/Gyn Group Division Director, Dept. of Ob/Gyn, Florida Hospital Orlando Orlando, Florida ________________________________________________________________________ Check Out the new free AIM(R) Mail -- 2 GB of storage and industry-leading spam and email virus protection. ________________________________________________________________________ Next message: Joe Cutchin: "Re: OB: NY Cesarean Boom" Previous message: Andrew Folley: "Re: OB: NY Cesarean Boom" In reply to: D. Ashley Hill: "Re: OB: NY Cesarean Boom" Next in thread: acmidwife@netscape.net: "Re: OB: NY Cesarean Boom" Reply: acmidwife@netscape.net: "Re: OB: NY Cesarean Boom"

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