Re: .5 million awarded to cesarean mom

From: Andrew Folley (agfolley@hotmail.com)
Thu Jan 4 11:23:51 2007


I agree. Most Obs love doing OB and the joy of being involved in the birth process. but when you think about it, look at how much time in a day and in the course of a year we spend doing things that really do not require the talents that we have. Specifically, all the moms we do tummy checks on and listen for heart tones, all the multips we show up and "deliver" (catch) the baby. A huge amount of time and talent is "wasted" doing things that well trained midwives could and should do and would do a better job of (antepartum counseling for instance) than we do. agf

>From: Joe <forcep@intercom.net>
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: Re: .5 million awarded to cesarean mom
>Date: Wed, 3 Jan 2007 20:37:51 -0600
>
>As one who actually did such a practice with CNM's for quite a few years ,
>I have often wondered why this mode was not more common. The Brits have
>done this for ages. Joe C
>
>Anna Meenan, MD wrote:
>>Aye.
>>
>>Anna Meenan, MD
>>
>>At Wed, 03 Jan 2007, Andrew Folley wrote:
>>
>>>All in favor of turning over all pregnant women in USA to midwives say
>>>"aye"
>>>Lets focus on gynecology. agf
>>>
>>>>From: Bernard Cristalli <bcrist@club-internet.fr>
>>>>Reply-To: ob-gyn-l@obgyn.net
>>>>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>>>>Subject: Re: .5 million awarded to cesarean mom
>>>>Date: Wed, 3 Jan 2007 12:32:59 -0600
>>>>
>>>>A midwife is way cheaper and supposed to be more compassionate.
>>>>Bad weather for the Obs.
>>>>Bernard
>>>>
>>>>Dr Eberhard Lisse a écrit :
>>>>
>>>>>Andrew,
>>>>>
>>>>>to be really honest: And Why Not? I could not care less how I get the
>>>>>baby out. It is the outcome that counts, not the way it is achieved or
>>>>>by whom.
>>>>>
>>>>>el
>>>>>
>>>>>on 1/3/07 7:18 PM Andrew Folley said the following:
>>>>>
>>>>>>Bernard, your challenge is somewhat inflammatory but I agree with you
>>>>>>100%. The next generation of OB's will be those that allow the baby to
>>>>>>fall out spontaneosuly or they do a c-section and all twins breeches
>>>>>>and
>>>>>>LGA infants are automatic c-sections. If this is what our speicalty
>>>>>>has
>>>>>>come to we would be better served by mandating all pregnant women see
>>>>>>midwives only and have our surgical colleagues take an additional 3
>>>>>>months of training and do the c-sections. agf
>>>>>>
>>>>>>>From: Bernard Cristalli <bcrist@club-internet.fr>
>>>>>>>Reply-To: ob-gyn-l@obgyn.net
>>>>>>>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>>>>>>>Subject: Re: .5 million awarded to cesarean mom
>>>>>>>Date: Wed, 3 Jan 2007 00:50:20 -0600
>>>>>>>
>>>>>>>To all those who stopped VBACs, vaginal breeches or twins...
>>>>>>>Quit obstetrics then, midwives can do exactly the same as you do (and
>>>>>>>sometimes better).
>>>>>>>That's what I told a journalist when he asked me what I felt the
>>>>>>>future of this profession will be. I answered: "disparition of normal
>>>>>>>VD".
>>>>>>>In the future there will be midwives for VDs (quite normal single,
>>>>>>>vertex pregnancies and deliveries) and surgeons for the rest.
>>>>>>>Bernard
>>>>>>>
>>>>>>>Dr Eberhard Lisse a écrit :
>>>>>>>
>>>>>>>>Exactly,
>>>>>>>>
>>>>>>>>I tell them the same, and no more twins and no more breeches. I have
>>>>>>>>had
>>>>>>>>one single patient that went shopping for VABC. Have seen her once
>>>>>>>>on
>>>>>>>>the street since, she had a C/S anyway :-)-O
>>>>>>>>
>>>>>>>>el
>>>>>>>>
>>>>>>>>on 1/3/07 1:14 AM Efrain Ramirez said the following:
>>>>>>>>
>>>>>>>>>I tell my patients from the start that I don't do VBAC's anymore -
>>>>>>>>>if
>>>>>>>>>they want a trial they can go to someone else - and I don't know if
>>>>>>>>>THAT
>>>>>>>>>is good enough - eventually, all will be decided at the Circus...
>>>>>>>>>may
>>>>>>>>>the best gladiator win..
>>>>>>>>>
>>>>>>>>>Ef
>>>>>>>>>
>>>>>>>>>>At Tue, 2 Jan 2007, Dr Eberhard Lisse wrote:
>>>>>>>>>>
>>>>>>>>>>Ef,
>>>>>>>>>>
>>>>>>>>>>I don't agree with the psychobabble blahblah, but a proforma
>>>>>>>>>>consent
>>>>>>>>>>isn't worth the paper it is signed on. We all know it and still,
>>>>>>>>>>some
>>>>>>>>>>continue to do it and then wonder why they get stung.
>>>>>>>>>>
>>>>>>>>>>Men of Steel.
>>>>>>>>>>
>>>>>>>>>>el
>>>>>>>>>>
>>>>>>>>>>on 1/3/07 12:51 AM Efrain Ramirez said the following:
>>>>>>>>>>
>>>>>>>>>>>Oh---lawyers!!
>>>>>>>>>>>
>>>>>>>>>
>>>>>>>>>--
>>>>>>>>>“ The greatest obstacle to knowledge is not ignorance, it is
>>>>>>>>>the
>>>>>>>>>illusion of knowledge.� Daniel J. Boorstin - Historian
>>>>>>>>>
>>>>>>
>>>>>>_________________________________________________________________
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>>>>>>_________________________________________________________________
>>>>>>_________________________________________________________________
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>>>>>>
>>

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