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Re: VBAC From: Kathi Wilson (wilsonk@gtn.on.ca) Sun Oct 29 10:52:00 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr Eberhard W Lisse: "Re: VBAC" Previous message: Bernard Cristalli: "'non person' (was: VBAC discussion)" Maybe in reply to: Alana A. Millman: "VBAC" Next in thread: jkulkin: "Re: VBAC" Larry Glazerman wrote: > Kathi: > > Thanks for a very well thought out post. Unfortunately, here in the US, the > people who make medical decisions often think in exactly the opposite way, > ie if EFM and 1/1 nursing with intermittent auscultation give equivalent > results (remember, the studies didn't say that EFM was inferior, just that > it couldn't be proven to be superior), then it's much cheaper to buy a > machine than a nurse. > > I'm not at all defending this viewpoint, just putting it on the table. And it should be put there, and examined. See, to me, the interesting thing about this is that the *method* of fetal health surveillance is being targeted, without consideration that there are other factors involved. It's similar to the fact that when active management of labour in North America got embraced, the component of that regimen (and the one that may well have been quite effective in contributing to lower C/S rates) that got overlooked was one-to-one care, which was seen as being essential in Dublin. I really don't know how you guys can overcome this sort of thinking, unless you just keep banging on the door... -- Kathi Wilson, RM Ilderton, Ontario, Canada mailto:wilsonk@gtn.on.ca ********************** Thames Valley Midwives 346 Platts Lane, London, Ontario, Canada http://tvm.on.ca mailto:info@tvm.on.ca Next message: Dr Eberhard W Lisse: "Re: VBAC" Previous message: Bernard Cristalli: "'non person' (was: VBAC discussion)" Maybe in reply to: Alana A. Millman: "VBAC" Next in thread: jkulkin: "Re: VBAC"

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