Re: VBAC

From: R. Daniel Braun (rd.braun@gmail.com)
Tue Apr 19 20:52:22 2005


Sit down and look at the facts. No labor nurse for 6-60 hours, 30-60 minutes in the OR and 24-36 hours postpartum with the same nursing care as a vaginal delivery. Costs(Not CHARGES) are definitely less with Cesarean.

On 4/19/05, Andrew Folley <agfolley@hotmail.com> wrote: > 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
>

--
R. Daniel Braun
       Kinky for Governor




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