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Re: Defining Immediately Available From: art fougner, md (evsono@pipeline.com) Fri Apr 20 09:38:32 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Richard Chudacoff, MD: "Re: Defining Immediately Available" Previous message: Braun, R. Daniel: "Re: Defining Immediately Available" In reply to: D. Ashley Hill, MD: "Re: Defining Immediately Available" Next in thread: DoctorJoe@aol.com: "Re: Defining Immediately Available" this acog meeting could be, in the words of arte johnson, "verrrrrry interesting." art At Fri, 20 Apr 2001, D. Ashley Hill, MD wrote: > >At Fri, 20 Apr 2001, DoctorJoe@aol.com wrote: > >>Shouldn't we drop back a think again about our previous multiple discussions >>about the FINE line of benefit (and WHICH side is it really on???) between >>VBAC and elective repeat C/S (even forgetting for the minute the fine line >>between PRIMARY C/S at 39 weeks and allowing labor)? Why should we lament so >>strongly the demise of the VBAC? > >Joe et al: > >I don't think science will play a big role in deciding whether or not to >offer a trial of labor, or offer elective primary c/sections. Patients >are more aware than ever of their ability to choose which intervention >they wish after hearing about risks/benefits/alternatives. Juries and >the lay media have supported the rights of patients to decide things >that we may decide differently. At first many patients were strongarmed >into trials of labor, but now they can choose elective repeat section vs >trial of labor. In the future, I suspect patients will demand elective >section (similar to Brazil) because there is a possibility of increased >prolapse and urinary/fecal incontinence with vaginal delivery. The lay >media and perhaps a jury decision will support this. Many of my >patients would love an elective c/section, for a variety of reasons. >Have a good one. > >Ashley > >-- >D. Ashley Hill, MD >Associate Director >Department of Obstetrics and Gynecology >Florida Hospital Family Practice Residency >Orlando, Florida > -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: Richard Chudacoff, MD: "Re: Defining Immediately Available" Previous message: Braun, R. Daniel: "Re: Defining Immediately Available" In reply to: D. Ashley Hill, MD: "Re: Defining Immediately Available" Next in thread: DoctorJoe@aol.com: "Re: Defining Immediately Available"

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