Re: VBAC revisited

From: art fougner, md (evsono@pipeline.com)
Mon Jul 7 08:37:18 2003


to quote my former chairman Gordon W. Douglas - "Just because you got away with something doesn't make it right." One case of uterine rupture is quite the sobering experience - anecdote or not. if trial of labor is to be offered, should not everything be done to insure safety for mom and baby?

art

At Mon, 7 Jul 2003, DoctorJoe@aol.com wrote: >
>In a message dated 7/6/03 23:14:25, ainsron@sbcglobal.net writes:
>
>> Those were my residency days also, 1975-1979, and my experience was the
>> same.  I remember my chief rushing some women into the OR when they were
>> progressing rapidly and 8-9 cms, in order to "deliver them before their
>> uterus ruptured.  Looks like we're going back to the good old days.  ne
>> of the papers I did in residency and presented at an ACOG Armed Forces
>> District meeting was on "Once a C/S, always a C/S." Wish I still had it.
>>
>If you'll remember, one of the first (if not THE first) big VBAC study was
>done at USC (if memory serves . . . ) and it wasn't so much of a "study" as
>simply a collection of women who had precipitously delivered after prior C/
>because the volume of deliveries was so high there, they didn't get to ever one
>fast enough and some delivered vaginally before they could be sections. So he
>authors collected these deliveries and demonstrated they were "safe." Obvio sly,
>it's a selected population. But the numbers were okay and the rest is
>history.
>
>Joe P.

--
art fougner, md
ich bin ein New Yorker




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