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Re: Placenta percretaFrom: ainsron (ainsron@sbcglobal.net)Sat Jun 19 14:26:59 2004
Call it sarcastic if you like, but I would truly like to know what your source of information for the education of patients "about the realities of birth and the limitations of modern obstetrics" is. If you find that "Holy Grail," share it with us. We all need to be educated about many of areas of our lives, so we can avoid being ripped off by the investment advisors, plumbers, mechanics, teachers, politicians and many more. Unfortunately, we live in an explosion of information. None of us are modern day versions of Ben Franklin or Thomas Jefferson, well rounded and well-versed in all of the events of our day, let alone all the subtleties of our specialty. We rely on experts in every field we interface with. If we find someone we trust, we tend to believe what they say and expect them to have our best interests at heart until someone better or with new information comes along. If the women I care for trust me blindly, that is their mistake and not my intent or request. I provide lots of information on every aspect of the care I provide, from one-on-one discussions to ACOG pamphlets and many other sources to reinforce what I say nor do I leave the patients room until I have satisfactorily answered her questions. Additionally I offer consultations when complex issues arise and patients are confused about their choices. When I talk to patients about the current state of VBAC, I tell them that I feel it is safe for most patients, but because of the realities of care in our current medico-legal environment, I cannot offer it to them - most understand and accept that as the way things are. Everyone in direct healthcare is a teacher, some are better than others. It is much more rewarding for me to provide care to patients who are appreciative, informed and interact at an adult to adult level. I don't want to baby-sit patients or make their decisions for them; some days it is hard enough making my own! Ronald E. Ainsworth Actually, I would steer many women away from an obstetrical textbook, but truly educate them about the realities of birth and the limitations of modern obstetrics. I also would tell them not rely on their doctor for every piece if info they get about pregnancy and birth (and before everyone jumps on me for that comment, I think ALL people should educate themselves about medical issues that affect them). Once again, no one has actually responded to what I said- you have changed the subject and resorted to sarcasm- must be because you know I am right.. Chris A.
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