Re: C/sections on demand

From: Jamie (ajfields@pine-net.com)
Mon Nov 28 08:21:45 2005


At Mon, 28 Nov 2005, Elrod Darryl G MAJ 48 MDOS/SGOBO wrote: >
>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?
>

Why should we be happy to have abdominal surgery with all the pain and potential complications that entails to do something our bodies are made to do anyway? Does c/s not increase risk of infection, DVT and PE, hemmorhage? If that increased risk is without any decrease in risk to someone, I don't want it. On a purely emotional level, birth is a rite of passage for many women. I would mourn the legitimate need for a c/s. For me, it would be somewhat similar to artificial insemination-if it's the only way to get the job done safely, so be it, but I'd still miss the experience.

>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
>

--
JFields, RN, BSN




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