Re: VBAC

From: art fougner, md (evsono@pipeline.com)
Mon Feb 12 09:57:10 2001


it is not inconceivable that a formal union, combining nurses, midwives and docs would be quite a force. perhaps as allies, we could succeed where as adversaries we have failed miserably?

art

At Mon, 12 Feb 2001, Barborza@aol.com wrote: >
>In a message dated 2/11/01 5:31:44 PM !!!First Boot!!!,
>Brian.Fox2@LifePointHospitals.com writes:
>
>> I believe it has to do with the practicality of having both a CNM and MD
>> present waiting for the same VBAC patient to deliver, when the regulations
>> stipulate that someone capable of performing a c/section be immediately
>> available. How many CNM's are ready, willing, able and credentialed for
>> being the primary operator for a c/section? Perhaps the CNM's prefer not to
>> be there.
>>
>> Brian W. Fox, MD, FACOG, Riverton, WY.
>>
>> >Would these 2 CNMs prefer to be there? Is it an issue of reimbursement?
>> I'm
>> >trying to understand why the doctors would prefer to not have them there -
>> is
>> >it a back-up issue?
>>
>> >Cheri Van Hoover, CNM
>> >San Francisco, CA"
>>
>CNMs do not, cannot, be primary operator for C/S. But, we have many patients
>who prefer midwifery care for pregnancy and birth. I don't want to be in a
>position where I cannot continue to care for VBAC patients.
>
>Barb Orza, CNM
>Lawrenceville, GA

--
art fougner, md

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





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