Re: .5 million awarded to cesarean mom

From: Andrew Folley (agfolley@hotmail.com)
Thu Jan 4 12:22:43 2007


Bernard i right re csections and accrta with previe etc. Woman with 6 or more prio sections has 3.3 % chance of previa. If previa present she has 67% chance of accreta with it. (Green Journal 2006 107:1226).

>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: Thu, 4 Jan 2007 10:07:16 -0600
>
>The only outcome you count is the baby's and it's not all.
>Previas and accretas are a lot more frequent now, go and have a look at the
>literature.
>Bernard
>
>Dr Eberhard Lisse a écrit :
>>3 to 5 fold risk of almost 0 remains almost 0.
>>
>>Statistical Morbidity lies in the eyes of the beholder. Blood loss of
>>500 ml or 900ml has virtually no clinical significance. Ruptured uterus
>>before labor is not unheard of but almost. Accreta? The one I had in the
>>last 5 years was a G2 with a previous vaginal delivery and a two large
>>fibroids now (got to her when fully dilated, delivered in 2
>>contractions). Hysterectomy? At C/S? Usually for ruptured uterus becuse
>>of attempted or unattended VABC.
>>
>>Anterior Repair? TVT? Quite common...
>>
>>Again, it is *ONLY* the outcome that counts, not the way how or by whom
>>it is achieved. And I am not saying where, so you girls delivering
>>pizzas, seize and desist :-)-O
>>
>>el
>>
>>on 1/3/07 10:20 PM Bernard Cristalli said the following:
>>
>>>In the outcome don't forget to mention to these couples the 3 to 5 fold
>>>risk for the mother, and that's only for this pregnancy, let alone the
>>>next ones (laceration, hemorrhage, placenta accreta, hysterectomy...)
>>>Bernard
>>>
>>>"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."
>>>
>>

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