Re: VBAC

From: Andrew Folley (agfolley@hotmail.com)
Tue Apr 19 13:52:49 2005


I still forsee several problems with our swing toward doing cesareans on all moms. One is that if and when the pendulum does swing back, the art of labor and vaginal birth will have been lost. We are currently graduating chief residents with limited skills in forceps, breech and twin vaginal delviereis. Secondly, the first or second repeat c-section may be low risk but how about the third fourth and fifth in terms of scar tissue bleeding placenta previa accreta etc. As a final thought c-sections and follow up care I suspect are more of a drain on health care resources than vaginal births. Monies going for c-section are monies being taken away from mamograms and immunizations. NOTE: "the opinions of this doctor are not necessarily those of the station". andrew

>From: islesannie@yahoo.com (Joanne Bulley, MD)
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: Re: VBAC
>Date: Mon, 18 Apr 2005 20:56:51 -0500
>
>Having delivered both ways -- vaginal and C/S after pushing for 2 hours
>.. the C/S was actually easier (after the first 24 hours). C/S is
>"more" or "less" healthy and a number of studies confrim that C/S
>(especaily without labor) is not riskier than labor & vaginal birth.
>
>Yes it matters to many Moms -- and many are now demanding C/S without
>any labor ... the pendulum keeps swinging back and forth among the lay
>as well as among the medical folks.
>
>Joanne Bulley
>
>At Mon, 18 Apr 2005, Chrisa93@aol.com wrote:
> >
> >In a message dated 4/18/2005 9:39:25 AM Eastern Standard Time,
> >rchudacoff@mylinuxisp.com writes:
> ><<Does it really matter HOW the baby is born? My goal is always a healthy
>mom
> >going home with a healthy baby, together. Route of delivery, in my
>opinion,
> >is highly over rated.>>
> >
> >Some might argue that a mom recovering from major abdominal surgery is a
>lot
> >less healthy than a mom who just had a vaginal birth.
> >
> >And, yes, it does matter to many women how their babies are born. If not,
>we
> >probably wouldn't be discussing the VBAC issue.
> >
> >Chris Andrews, NP
>
>--
>Joanne Bulley, MD
>Keene, NH, USA





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