Re: fibroid advice

From: Betty Rommel, MD, PhD (brommel@mindspring.com)
Tue Jul 9 18:01:48 2002


At Tue, 9 Jul 2002, Betsy Hyde wrote: >
>At 3:23 PM 7/9/02, Betty Rommel, MD, PhD wrote:
>
>>Nobody except a midwife cares about of mode delivery.
>>
>Believe it or not, our large, collaborative MD/CNM practice has many
>physicians *and* patients who care about the mode of delivery. Yesterday's
>cases at Maternal M&M at our large, tertiary care medical center all dealt
>with complications from c/s. Colostomy was only one of the complications.
>
>As I remember from past posts, you are not an ob-gyn in clinical practice.
>Sometimes clinicians have different perspectives....
>
>--
>Betsy Hyde CNM
>

The midwife experience with cesareans can best be described as a grim spectator sport where overlabored women are rescued by the obstetrician after senseless, stubborn & protracted attempts at vaginal delivery have failed. Had the cesareans you have witnessed been performed in a more timely fashion, "your" patients may have recovered quickly and your M&Ms would have been less exciting. Bowel injury is more a symptom of hasty surgery than of carefully performed cesarean delivery.

Have a wonderful day,

--
Betty Rommel, MD, PhD




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