Re: CS response time
From: art fougner, md (evsono@pipeline.com)
Tue Jul 18 07:20:24 2000
so the real question is this: does Dr. Zinberg favor Tastes Great or
Less Filling?
art
At Mon, 17 Jul 2000, Joe Cutchin wrote:
>
>Sometime last fall I had written to ACOG and complained about the
>word"immediate" in terms of MD availability.I found Dr Zoinberg's
>response and am posting for your interest.
>Dear Dr Cutchin.
>Your recent e-mail regarding the Practice Bulletin "Vaginal Birth after
>Previous Cesarean Delivery"has been forwarded to me as Vice President of
>Practice Activities.Unfortunately,Ken Heland is no longer with the
>College and I have been asked to respond.
>As indicated in the enclosed editorial in our newsletter ACOG Today,the
>term "immediate" was used in this document to highlight the urgent need
>for intervention in the event of uterine rupture.In contrast to other
>obstetric emergencies such as placenta accreta,VBAC is a purely
>procedure that allows for reasonable precautions in assuming this small
>but significant risk.In addition,recognition that certain situations
>require less than a 30 minute reponse time does not represent new
>College policy.As explained in "Guidelines for Prenatal Care 4th Ed"
>examples of situations mandating expeditious delivery include
>"hemmorrhage from placenta accreta,prolapse of the umbilical cord,and
>uterine rupture".Therefore the Practice Bullitin merely emphasizes this
>point.
>The definition of "immediate available" remains a local decision,based
>on each institution's available resources and geographic location.
>I hope this information is helpful to you.
>Sincerely,
>Stanley Zinbery,MD,MS,FACOG
>Vice President,Practice Activities
>
>--
> Joseph H. Cutchin MD FACOG 4105463125
> 314 West Carroll Street 4105463128 Fax
> Salisbury,Maryland 21801
>
> http://www.penobgyn.com
>
--
art fougner, md
A series of 1000 cases begins with but a single anecdote.
