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Re: OB: Patient Choice CesareanFrom: ainsron@msn.comSat Apr 1 23:45:18 2000
Would you really change your practice just because ACOG, or any other body, medical or legal, suggests that a patient should be offered a C/S for "any reason," even if you didn't believe it yourself? I think there are certain situations where a patient has every right to request, even demand a cesarean section. However, I draw the line at doing C/S on request for nebulous reasons, such as the fear of labor, or worry about the pain of labor. There are many things we can do for our patients to comfort them and provide adequate anesthesia/analgesia. Fortunately, most obstetrical patients I have cared for over the years listen to reason. This is evident every time I talk to a patient about the pros and cons of assisting a delivery with forceps or vacuum or a previous bad labor & delivery experience. I dislike the idea that patients can completely direct their care to any extent, based on fear or misinformation. If I can't develop enough good rapport to be believable to my patients, I'm in the wrong field or the patient is in the wrong office. >I agree with Paul to an extent. This article is an editorial and cannot be >consider ACOG's position or standard of care. So, while I like the article >for its arguments, I will not change my practice until ACOG dictates a >change directly.. > >-- >_______________________ >Geffrey H. Klein, MD >_______________________ >geffrey.klein@obgyn.net >200 Medical Center Blvd Suite 103 >Webster, TX 77598 >(281) 332 6723 > >http://www.geffreyklein.com >
-- Ronald E. Ainsworth, MD
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