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Re: C/sections on demand From: Elrod Darryl G MAJ 48 MDOS/SGOBO (Darryl.elrod@LAKENHEATH.AF.MIL) Mon Nov 28 06:57:30 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Lynn D. Montgomery, M.D.: "Re: Dysplasia question" Previous message: art fougner, md: "Re: Inspector Callahan" Maybe in reply to: GA12L@aol.com: "C/sections on demand" Next in thread: Jamie: "Re: C/sections on demand" Reply: Jamie: "Re: C/sections on demand" I don't think the Air Force would want to take on the responsibility of any of their docs or midwives doing home births. Why do you think that women have to resign themselves to c-sections? Why can't that be what they want and they are happy to accept that as how their baby will be born? Our policy for length of stay is completely peds driven. They have given stats in the past (source unknown to me) that 48 hours represents the length of time needed to detect otherwise undetected birth defects that are potentially life threatening prior to the baby leaving the hospital. For that reason and that reason only, our moms stay 48 hours after the delivery time. That's why I say that scheduled sections are shorter overall stays. They come in at 6am, section at 7am, home 48 hrs later. For vag deliveries, they labor x number of hours and then go home 48 hrs (or longer depending on the time of day they deliver) Glen ________________________________ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of -- ________________________________ GA12L@aol.com Sent: Monday, November 28, 2005 12:44 PM To: Multiple recipients of list OB-GYN-L Subject: Re: C/sections on demand In a message dated 28/11/2005 12:15:23 GMT Standard Time, Darryl.elrod@LAKENHEATH.AF.MIL writes: It's a choice that the patients make. Some like homebirths, some like elective c-sections. I'm not credentialed to do homebirths. I am credentialed to do c-sections. What does that mean? That you are not permitted to do homebirths or that you can't do them? My own personal bias and observation is that women who know they are going to My own personal bias and observation is that women who know they are going to have a c-section (breech, elective) do very very well in the postpartum recovery. I would agree with that to a point. We have a woman coming in tomorrow for an elective section for primip breech. She has not come to terms with it at all. But otheres resign themsleves to what they consider to be the inevitable and yes they do very well emotionally. Babies do well, moms do well, and the hospital stay is inevitably shorter than the vaginal pathway. Our women who have had a normal vaginal birth often go home after 6 hours. Or do you mean those who had an emergency section go home later? All ours go home after 3 days unless therer are any other complications. Gail Next message: Lynn D. Montgomery, M.D.: "Re: Dysplasia question" Previous message: art fougner, md: "Re: Inspector Callahan" Maybe in reply to: GA12L@aol.com: "C/sections on demand" Next in thread: Jamie: "Re: C/sections on demand" Reply: Jamie: "Re: C/sections on demand"

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