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Re: Why women choose VBAC (very long)From: D. Ashley Hill (dahmd@cfl.rr.com)Wed Oct 26 16:53:52 2005
At Wed, 26 Oct 2005, GA12L@aol.com wrote: > >For many women having an emergency c/section is like a death. They grieve >for the birth they expected and planned for and didn't get. Snip. I suspect for many women their birth plans are similar to their dreams of their wedding day. One of the interesting things is that few weddings progress flawlessly. Sometimes the videographer doesn't show, or Uncle Bob gets drunk and tells off-color jokes, or it rains. Yet, you almost never hear a new bride say "there were problems at the wedding and it totally ruined it for me." Most are just happy that they got married and are starting their life together. I wonder if some women just expect their birth experience to progress without complications. About a half-million women and millions of babies die each year worldwide due to pregnancy complications, yet many patients are unhappy if their 6-page birth plan is not followed to the letter. I have had patients who would rather watch their flaccid, blue babies with pulses < 30 go without resuscitation because they wanted to breastfeed immediately. We work very hard to support breastfeeding, but you can't breastfeed a dead baby. Certainly her physician did not cause her elevated blood pressure, and I'm sure she would be writing to us to describe the death of her beloved baby had she had an abruption after leaving the hospital to be monitored if her physician "neglected" to advise induction. I spend the night in the hospital and therefore have no "agenda" or "schedule," yet sometimes I must advise induction when patients have a maternal or fetal complication. I feel badly that the author feels badly about her experience, but several of her comments were insulting to those of us who work very hard, often under challenging circumstance, to deliver healty babies to a healty mothers. Ashley
-- D. Ashley Hill, MD Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency and Loch Haven Ob/Gyn Group Orlando, Florida
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