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Re: Cephalocentesis-question From: Steve & Eryl Raymond (eryl@intekom.co.za) Sun May 28 15:49:32 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: rchudacoff@mylinuxisp.com: "Re: routine intrapartum labs" Previous message: Marco A. Pelosi, III, MD, FACOG, FACS, FICS: "Re: Cephalocentesis-question" Maybe in reply to: Dr.Mohamed Saeed: "Cephalocentesis-question" Next in thread: Dr.Mohamed Saeed: "Re: Cephalocentesis-question" Content-Type: text/plain; charset=us-ascii Content-Transfer-Encoding: 7bit While I understand what you're saying I disagree that the cephalocentesis has a high mortality in itself. If done with a spinal needle as I do there is almost no visible mark. These babies die from their abnormalities. I also am not as happy as you about C/S's low morbidity - lost a mother on Friday from uncontrolled bleeding at repeat Caesar. Not done by me, but I had to try to solve it; but it is one example of the long term morbidity that we see round here. "Marco A. Pelosi, III, MD, FACOG, FACS, FICS" wrote: > > >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 -- Dr. Steve Raymond Head of Department of O & G Empangeni Hospital Empangeni SOUTH AFRICA 3880 Ph:(+27)(035)77721111 Next message: rchudacoff@mylinuxisp.com: "Re: routine intrapartum labs" Previous message: Marco A. Pelosi, III, MD, FACOG, FACS, FICS: "Re: Cephalocentesis-question" Maybe in reply to: Dr.Mohamed Saeed: "Cephalocentesis-question" Next in thread: Dr.Mohamed Saeed: "Re: Cephalocentesis-question"

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