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Re: Within or outside the standard of care - LongFrom: Garry Siegel (garrys@mindspring.com)Tue May 29 20:50:42 2001
At Tue, 29 May 2001, Richard Chudacoff, MD wrote: > >I agree. Besides, there are a few OB's here that have no idea regarding the >mechanics of delivering vaginally, but are very good sewing up the cloacae >they create every time they rip a baby out from. Personally, I do think >there is a difference in technique and it does matter who does the delivery. >I induce quite frequently; harm rarely and again, my tri-monthly c-section >rate is less than 7%. > >- Rick: You are spot on (learned that from the Grand Prix broadcasts, from David Hobbs, an Englishman) with your comments regarding the mechanics and "art" of delivery. I recently had a delivery at the big hospital, and the nurse (been there are few years, but I didn't know her well) was impressed at how a doctor (not a midwife) could do a cool delivery. You know, letting the perineum stretch, stopping and starting pushing, delivering from the vagina to the abdomen. All of these tricks were learned via observation and experience, and do not represent rocket science, but (I hope) a combination of good medicine and good patient service. Garry
-- Garry E. Siegel, M.D., F.A.C.O.G. Roswell, GA Private Practice
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