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Re: MORE ABOUT VBAC From: art fougner, md (evsono@pipeline.com) Sun Jul 2 12:02:30 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: Another Interesting VBAC/follow up" Previous message: art fougner, md: "Re: Another Interesting VBAC" In reply to: Eberhard W Lisse: "Re: Another Interesting VBAC" actually Sam Cosgrove at the Margaret Hague Maternity Hospital - now part of Jersey City Medical Center - was performing and reporting on large series of TOL's long before the LA County series. imho TOL is a much better term than VBAC since many women laboring after section don't deliver vaginally. art At Sat, 1 Jul 2000, DoctorJoe@aol.com wrote: > >In a message dated 7/1/00 4:31:25 PM, gklein@icsi.net writes: > >>Let us not start another CNM vs MD flame war. I present this case >>for one reason.. I believe that home VBAC is a bad idea. Now >>there are other troubling issues with the case I presented but it >>does not mean that a moronic MD could not make the same mistakes as >>well. > >Well, let's all step back and remember where the "formal" VBAC came from... > >In California, I believe at USC (Y'all correct me if I'm wrong. I'm just a >poor Suthin boy...), they had a LARGE volume of patients who often had to >wait, in labor, for their repeat c-section simply because they had no >available ORs. Of course, at that time it was "once a c-section, always a >c-section." Well, as you would expect, a number of ladies delivered >vaginally, without problems, during spontaneous labor, waiting for their >turn. Some bright doctor decided to collect these cases and write them up, >and VOILA!, the VBAC. > >So what does this say? If the baby is going to fall out after a little labor >waiting for the OR, then obviously it's a "good" VBAC candidate. This is NOT >the same as a previous c-section patient who is "PITTED" for 12 HOURS in an >attempt at delivery. Why is anyone surprised that sometimes, in these >patients, uteruses rupture. All VBACs are NOT the same and all VBACs are NOT >safe. > >We end up lumping all previous c-section patients in one bunch and obviously >they're not the same! Who's surprised that we get bad outcomes in some >patients? > >Joe P. -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: art fougner, md: "Re: Another Interesting VBAC/follow up" Previous message: art fougner, md: "Re: Another Interesting VBAC" In reply to: Eberhard W Lisse: "Re: Another Interesting VBAC"

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