Re: VBAC
From: art fougner, md (evsono@pipeline.com)
Wed Aug 9 10:57:59 2000
seems to me the whole issue hinges on the time it takes from onset of
the problem to the time that all hell breaks loose. since this is so
hard to quantitate, would it not make sense to err on the side of
caution?
art
At Tue, 8 Aug 2000, Richard Chudacoff, MD wrote:
>
>Well, it seems that most OBs (at least in my community) do not agree with
>the ACOG guidelines that they must be immediately available for VBACs. Hence
>strong liability-intestinal fortitude is created if they can stand laboring
>a VBAC patient at a distance without dyspepsia, and are willing to accept
>the medico-legal risks of losing a lawsuit if any untoward event occurs and
>they are not present at the initial occurrence of this event. They will
>continue to practice as if the ACOG guideline never existed, setting a
>community standard opposed to the ACOG guideline. On the other hand, since I
>cannot stomach the acidic environment of self-imposed anxiety, nor do I wish
>to take the stand that OUR college has left me hanging with this restrictive
>edict (yes, I am ashamed that I have no calcium in my spine,) I would stay
>in the hospital during the entire labor of a VBAC, and set the standard for
>my practice guideline. As a solo practitioner, I cannot afford the close the
>office, so I do not do VBACs except under very restricted conditions.
>
>Rick
>
>>-----Original Message-----
>>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of
>>RModugno@aol.com
>>Sent: Monday, August 07, 2000 9:56 PM
>>To: Multiple recipients of list OB-GYN-L
>>Subject: Re: VBAC
>>
>>In a message dated 8/7/00 6:13:24 PM Eastern Daylight Time,
>>rchudacoff@mylinuxisp.com writes:
>>
>><< No, the national standard is being set by liability-intestinal fortitude
>> (how much will the pocket/stomach bear.) >>
>>
>>Can you elaborate a little more on this, Rick?
>>
>>Robert Modugno MD MBA FACOG
>>Marietta, GA
>>
--
art fougner, md
A series of 1000 cases begins with but a single anecdote.
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