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Re: OB: Home birthsFrom: Jamie (ajfields@pine-net.com)Wed Nov 16 13:17:48 2005
You caught me. I should have said VBAC attempt. I'm not talking so much about when a VBAC becomes no longer a reasonable option, but when the OB says early in pgcy that VBAC is an option, but calls the patient and spouse in at a late prenatal visit and emphasizes or exaggerates the risk of VBAC. Ncbers call it "playing the dead baby card". I understand the fear of attending a VBAC. I prefer honesty about it. It sounds like you tell women up front that planned VBAC is not an option in your practice. That's honest. Telling them that it is allowed and then playing the dead baby card when it's too much of a hassle to change practices isn't. I don't think this is the majority of practitioners, but neither do I think the majority of homebirthers are intentionally dishonest about their plans.
>What you call a "promise" to allow a VBAC usually represents unrealistic expectations by the patient. When I did VBACs, patients were told the circumstances that would risk them out, they were also given a consent form that they read and signed listing those circumstances. There were still patients who tried to bargain details that were not on the table - continuous monitoring, scalp electrode when ruptured, no inductions, etc.
-- JFields, RN, BSN
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