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Re: VBAC, immediate availabilty and change in hospital policyFrom: ainsron@msn.comSun Feb 11 18:23:52 2001
Several posts dating back to 1997 regarding this topic, here is the most concise one: The "17 minute rule" is mentioned in Bruce Flamm's excellent editorial "Once a Cesarean, Always a Controversy" in Aug 97 Green Journal (Obstet Gynecol 1997;90:312-5). He states, "A large study (19) on uterine rupture found that no infants had significant perinatal morbidity when delivered within 17 minutes of the onset of a prolonged deceleration." The reference on this large study is Leung et al, Am J Obstet Gynecol 1993;169:945-50. One further note is needed, apparently this study only had seven patients and the only one that had problems was outside of the 17 minute cut-off, ergo what some have called the 17 minute rule. I doubt you are truly brain dead, but if we aren't careful and speedy, apparently our patients might be.
>Must have been brain dead at the time - but what is the 17 minutes about?
-- Ronald E. Ainsworth, MD
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