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Battle lines drawn over C.SectionsFrom: RModugno@aol.comSat Aug 27 21:47:03 2005
The thought of laboring or delivering at home after a C-section, without electronic fetal monitoring and an operating room close by in case of a uterine rupture, sends chills down Bruce Flamm's spine. "It sounds like it is kind of spreading, which is just a disaster," says Flamm, a Kaiser Permanente OB/GYN in Riverside, Calif., who has written extensively about VBACs. Roebuck was lucky; her home VBAC went smoothly, Flamm says. But it's only a matter of time before one goes wrong and a baby dies because a C-section could not be performed quickly enough, he says. Flamm urges women to "search for the middle ground. Talk to the doctor, see if they would just be willing to stick around the hospital that one day they're in labor." "Unfortunately," Flamm says, "nobody wants to do the middle ground." The thought of laboring or delivering at home after a C-section, without electronic fetal monitoring and an operating room close by in case of a uterine rupture, sends chills down Bruce Flamm's spine. "It sounds like it is kind of spreading, which is just a disaster," says Flamm, a Kaiser Permanente OB/GYN in Riverside, Calif., who has written extensively about VBACs. Roebuck was lucky; her home VBAC went smoothly, Flamm says. But it's only a matter of time before one goes wrong and a baby dies because a C-section could not be performed quickly enough, he says. Flamm urges women to "search for the middle ground. Talk to the doctor, see if they would just be willing to stick around the hospital that one day they're in labor." "Unfortunately," Flamm says, "nobody wants to do the middle ground." +++++++++++++++++++++++++++++++++++++++++++++Enter the laborist! Robert Modugno MD MBA FACOG Marietta, GA
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