Re: VBAC

From: art fougner, md (evsono@pipeline.com)
Sun Oct 29 17:51:49 2000


point taken re oxytocics but continuous attendance without the wherewithal to surgically intervene is no reassurance.

art

At Sun, 29 Oct 2000, Ina May Gaskin wrote: >
>At Sat, 28 Oct 2000, art fougner, md wrote to Alana:
>>
>certainly not questioning your zeal nor your enthusiasm, but perhaps the
>fact that trial of labor is also termed trial of SCAR should give you
>pause, especially in the city devoted to the odds, Las Vegas. as others
>have pointed out, labor for a woman with a scarred uterus presents an
>increased risk for uterine rupture. this increased risk changes the
>definition to high risk. >
>
>It's worth remembering that women who have VBACs at home don't have
>their labors induced with synthetic oxytocins or prostaglandins (or
>electric breast pumps, for that matter). They also have continuous
>attendance during labor. It may not be generally recognized, but these
>factors do make a difference.
>
>Ina May
>
>--
>Ina May Gaskin, CPM
>The Farm Midwifery Center
>41 The Farm
>Summertown, TN 38483
>
>E-mail: MidwifeIM@aol.com
>http://www.birthgazette.com
>

--
art fougner, md

A series of 1000 cases begins with but a single anecdote.





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