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Re: VBAC immediately available policyFrom: D. Ashley Hill (dahmd@cfl.rr.com)Mon Feb 6 09:48:09 2006
At Mon, 6 Feb 2006, RModugno@aol.com wrote: > >In a message dated 2/6/2006 8:42:11 A.M. Eastern Standard Time, >dahmd@cfl.rr.com writes: > >I'm particularly curious if anyone mandates in house or on unit >coverage. Thanks again, > >Ashley > >Our hospital follows the ACOG guidelines. They feel that expanding on that >would be medical-legal suicide. > >Robert Modugno MD MBA FACOG >Marietta, GA Robert- hanks. ACOG, in a statement to the anesthesiology society, said that it is up to each individual hospital to decide what "immediately available" means. It sounds like nobody is willing (or able) to do that. Obviously mandating a certain time frame or distance boxes everyone in and could create a lot of legal problems, but it also sounds like a lot of hospitals offering VBACs do so without available in-house anesthesia or OB coverage. Doing that seems worse than not have a protocol in place. After all, who is going to believe that "immediately available" means both ob and anesthesia taking call from home? Thanks again, 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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