WOMENS-HEALTH Messages for July, 2000: Re: VBAC at home???Dr Hill...

Re: VBAC at home???Dr Hill...

From: AMD (anonymous@obgyn.net)
Wed, 12 Jul 2000 14:45:58 -0500 (CDT)

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Reply: Sue: "Re: VBAC at home???Dr Hill..."

Dr. Hill -- First of all, congrats on your new arrival. The pictures of your son are beautiful. Did your wife have a c-section (looks like it in one of the photos)?

Second, thanks for your wonderful diplomatic response to this latest post. I was a little overwhelmed by the aggressiveness of comments and unable to compose a rational, constructive response. You really hit the nail on the head summarizing the essence of my concerns.

I certainly did not intend to fuel a midwife vs. physician type debate on this forum. I sincerely apologize if my original post offended any of the midwives that participate on this forum. I was not questioning the competence of midwives in general.

Sncerely, Andrea

At Wed, 12 Jul 2000, D. Ashley Hill, MD wrote: >
>At Wed, 12 Jul 2000, Sue wrote:
>
>>The studies available show that homebirth is as safe as hospital birth
>>for low-risk women who are properly attended.
>
>You bring up many valid points, but the above statement is not really
>applicable to this thread. VBAC patients are not "low-risk" patients.
>As I have stated in past responses, if a mother is aware of the
>risk/benefit profile for home VBAC, and if she is willing to accept the
>low (but probably devastating) risk of uterine rupture when attempting a
>VBAC at home, then she has the right to do this.
>
>I strongly suspect that if the fetus could speak for itself the
>conversation would go something like this: "well, mom, let me think. I
>have the choice between delivering somewhere where they can deliver me
>by c/section emergently, thus increasing my chances of not dying or
>having brain damage, or I can deliver at home, because it's more
>comfortable for =you,= and increase my risk of really bad things
>happening to me." Is there really any question what the baby would
>decide?
>
>Best wishes,
>
>--
>David Ashley Hill, MD
>Associate Director
>Department of Obstetrics and Gynecology
>Florida Hospital Family Practice Residency
>http://home.mpinet.net/dahmd
>

Next message: Sallie: "Re: Pelvic reconstruction post operative expectations"
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