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Re: Reasons for elective repeat CS From: dahmd@gate.net Sat Sep 14 18:29:11 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Geffrey H. Klein, MD: "Mg SO4 (not if, but when...)" Previous message: John Hellriegel: "Grass Roots Action" Maybe in reply to: John Hellriegel: "Reasons for elective repeat CS" Next in thread: John Hellriegel: "Re: Reasons for elective repeat CS" In article Ealgail@aol.com writes: >I agree wholeheartedly with Dr. Lisse. snip >I think we have to do things for clear medical reasons and not for things >like convenience, scheduling, and unsubstantiated fears. >Linda Morrison-Boczar, MD, MBA >Assistant Professor, IU I hope my original post was not misunderstood. I did not advocate *any* of the 4 reasons I listed; they were simply examples of what patients give as their reasons for wanting a repeat c/section. I read Dr. Lisse's response, and have to respectfully disagree with his statement that it is a "valid" reason to do a repeat c/section if a patient also wants a tubal ligation. I am unsure if there are data one way or the other, but it seems that a vaginal delivery/postpartum tubal ligation combination (i.e. modified Pomeroy technique) is still safer than a repeat c/section. While prolonged hospitalization, significant pain, febrile morbidity, incision problems, and postoperative adhesions can be relatively common after c/section, they are very uncommon after vaginal delivery and postpartum tubal ligation. The patient may think that 1 procedure (c/section) is better than 2 procedures (delivery and tubal ligation), but I would advise patients to undergo the delivery with tubal rather than a repeat c/section. Of course, the final decision is up to them. Thanks, Ashley D. Ashley Hill, M.D. dahmd@gate.net Orlando, FL Next message: Geffrey H. Klein, MD: "Mg SO4 (not if, but when...)" Previous message: John Hellriegel: "Grass Roots Action" Maybe in reply to: John Hellriegel: "Reasons for elective repeat CS" Next in thread: John Hellriegel: "Re: Reasons for elective repeat CS"

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