Re: VBAC
From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com)
Wed Aug 9 11:17:24 2000
I absolutely agree.
Rick
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of art
>fougner, md
>Sent: Wednesday, August 09, 2000 10:58 AM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: VBAC
>
>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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