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Assistant at C-Section From: Dr. Carlos Chase (drchase@sunbeach.net) Sat Aug 3 18:40:25 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Paulo R. M. Barrozo, M.D.: "Re: Assistants at CESAREAN Section" Previous message: Dr. Carlos Chase: "Fever with menses" >How do listmembers feel about the use of physicians as first assistants at Cesarean Section? While >other operations may be performed without other physicians in attendance, it has been our position that >another physician, competent to perform the Cesarean, be present in order to adequately assist in the >operation. In Barbados it is not necessary for the second assistant to be a physician competent to perform C-sections. To agree with El, medical students and interns do quite well. When a new registrar is in training then his assistant is always someone experienced in C-sections until competence is achieved. Unless there is a high MI rate for OBGYN's( who demise during surgery) or are incompetent to perform C-sections, it is not necessary to have a second physician. In our setting, the registrar does the CS and informs/consults with the consultant prior to surgery so that should a problem arise help would be available. The need to call out the consultant for C-section last occurred about 4 years ago with a case of placenta previa. One could extend this argument to include the anaesthetists (two of them... just in case), paediatricians (two of them..just in case), scrub nurses (two of them...just in case). Perhaps it is time that physicians started practicing MEDICINE as opposed to LAW (or more correctly CYA) and stopped trying to second guess lawyers, insurance companies and patients. If there is a valid reason for a second experienced physician..by all means plan ahead, but certainly it is an extravagance and waste of training for routine C-sections. -- Dr. Carlos Chase MBBS,DGO Bridgetown Barbados E-mail: drchase@sunbeach.net Sun, sea and sand in the Caribbean. Next message: Paulo R. M. Barrozo, M.D.: "Re: Assistants at CESAREAN Section" Previous message: Dr. Carlos Chase: "Fever with menses"

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