-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: VBAC From: Deborah Wage, FNP,CNM (wagedj@bellsouth.net) Sat Oct 28 18:34:11 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: Cytotec-another viewpoint - long!" Previous message: RModugno@aol.com: "Fri: (on Sat): Parody on hospital birth - long" Maybe in reply to: Alana A. Millman: "VBAC" Next in thread: Carlos Roure MD: "Re: VBAC" would you care to elaborate on > VBAC not being low risk? What risk factors are you evaluating? Uterine > rupture? I thought that was fairly clear in my post. But, yes, uterine rupture............small chance of it occuring but catastrophic if it does. How much do you think the time difference is between our ability > to get a woman to a hospital operatory (when we phone ahead) and our local > hospital ability to get a woman to an urgent c/s? Well, if your hospital cannot do a c/s any quicker by just rolling her down the hall compared to you transporting her then there may be a problem of another sort here. But you were not making statements regarding VBAC safety in your *particular* setting...........you made generalized statements about it's relative low risk status. To which I disagree. > > I don't really want to argue. > If you feel you have some information that may cause me to change my views > please pass it along, but I don't want to play a numbers game. It isn't rocket science Alana. If the uterus blows and the kid is extruded into the abdomen............immediate intervention is required. In most homebirth situations you could not get to the hospital and the OR in time. And as someone else pointed out....sometimes even in a fully equipped hospital there is not sufficient time. I think the onus is upon you to explain how one would manage a uterine rupture in a home birth setting. What was your plan for transport and intervention in the unlikely event that it happened to you in your own birth? I find a > 0.03% to 1% risk of uterine rupture to be a reasonable risk and I would not > accept a client who did not understand the risks. Again, when discussing this risk with a woman what is the plan for handling this emergency? I really am curious as to what is discussed about this. How far is the hospital from most of the homes? Does the hospital have to call in a team or are they in house? -- Deborah Wage, MSN, FNP, CNM Next message: art fougner, md: "Re: Cytotec-another viewpoint - long!" Previous message: RModugno@aol.com: "Fri: (on Sat): Parody on hospital birth - long" Maybe in reply to: Alana A. Millman: "VBAC" Next in thread: Carlos Roure MD: "Re: VBAC"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Dec 2 04:48:32 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.