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Re: Prior cesarean, SGA, need your help.... (off the subject..) From: dahmd@gate.net Thu Jul 31 18:42:17 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: James Taylor: "Prior cesarean" Previous message: Robert Radnich, M.D.: "Re: Estrogen supplementation of premenopausal woman" Geffrey H. Klein, MD wrote: > However, if patient says repeat cesarean, that is the END OF DISCUSSION. > Bottom line, it is her body. She has thought it through and it is a > reasonable request. She gets what she wants. If she elects for TOL and > then in labor requests cesarean, I do it. I would add only 1 thing to Geff's excellent synopsis of the risk:benefit profile of VBAC. Be sure to document your discussion in the office progress notes, and carbon copy them to the labor unit if you may not be the person delivering the patient. I have had an HMO take me to task for performing an "unindicated" repeat c/section (despite a c/section rate of 16% and this particular patient's refusal of a trial of labor). When I showed them the progress note detailing the discussion, they did not pursue things further. Ashley D. Ashley Hill, M.D. dahmd@gate.net Orlando, FL Next message: James Taylor: "Prior cesarean" Previous message: Robert Radnich, M.D.: "Re: Estrogen supplementation of premenopausal woman"

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