Re: OB: Home births

From: art fougner, md (evsono@pipeline.com)
Wed Nov 16 13:21:59 2005

You forgot the "Dead Mommy" Card.

art

At Wed, 16 Nov 2005, Jamie wrote: >
>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
>

--
art fougner, md


"I knew I was going to take the wrong train, so I left early."
Lawrence Peter Berra



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