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Re: VBAC dying art>From: Joanne Bulley, MD (islesannie@gmail.com)Mon Mar 30 20:06:02 2009
Verner, Do you have a full OR team in house with each VBAC once she is in active labor? If not ... what is your decision to incision time when you call "stat" OR team? Are you really "OK" flying so bare in the seat of the pants? Back in Residency (1981-1985) and when we started VBACs here in Keene in 1985: our protocol required in-house OR team present and waiting. In residency that was not so bad - because we had residents in anesthesia and one was always assigned to L&D. But in this small community town - it was a pain for the OR team. They would come in when she arrived in labor and set up an OR table for C/S - then go to their quarters and sleep / wait for the possible call. After some number of years (5? maybe 6?) we quit making them come in and set up the table and wait - but the OR was always notified. If they had to do another emergency case - they did call a back up team to be available for a Stat C/S. Joanne
At Mon, 30 Mar 2009, vnellsch wrote:
>
-- Joanne Bulley, MD solo gyn Keene, NH
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