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Re: Cephalocentesis-questionFrom: Marco A. Pelosi, III, MD, FACOG, FACS, FICS (marcop@agoron.com)Sun May 28 15:30:05 2000
At Sun, 28 May 2000, Steve & Eryl Raymond wrote: > >Wait, wait, wait. >"50%+ fetal mortality rate"??? This baby had no prognosis at all. >In fact it is a wonder that it lasted 6 days. You are not advocating >a C/S in such cases are you? A procedure with maternal mortality >and morbidity proposed to deliver a live abnormal baby who is going >to die anyway? > >I don't think there's a place for raising false hopes, that the baby >has a chance, and I would certainly not want to do a C/S even if >she didn't have mitral regurg. > You've missed the point entirely. There are only two options for delivery of the infant: cesarean (without cephalocentesis) and vaginal with cephalocentesis. Cephalocentesis has such a high mortality rate regardless of the prognosis for the infant that it could arguably be considered a physician assisted abortion. If proper consent was not obtained, then the physician responsible for the cepaholocentesis decided the cause of death for this infant IRRESPECTIVE of the infant's prognosis. Furthermore, the morbidity of cesarean delivery is minimal and is a weak excuse for advocating cephalocentesis and vaginal delivery to overcome dystocia with a live fetus.
-- M.A. Pelosi,III, MD
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