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Re: Informed Refusal - VBACFrom: RModugno@aol.comWed Mar 15 14:48:07 2006
In a message dated 3/15/2006 3:41:39 P.M. Eastern Standard Time, eramirezt@coqui.net writes:
At Wed, 15 Mar 2006, Dr. Ainsworth wrote:
>The above is from the recent ACOG Committee Opinion on Informed Refusal. Ron... I strongly believe that if you do not have the facilities to comply with the strict standards set by our College – you cannot offer VBAC – period – it does not matter if the next suitable alternative is across the street or in the moon – if there is a bad outcome everyone will get sued and most probably evryone will have to pay... You know what I would like to see? – a written opinion – from the College – addressing this specific issue – but I doubt very much it will.. Good luck.. Ef I think that the hospital should support the physician, and make it hospital policy - if one cannot maintain the standard outlined in the ACOG guideline.Some rural hospitals have done this. To paraphrase "George in the Bush" : The hospital's either with us or against us. We are having similar angst at present with videotaping of deliveries. BTW Ashley what was the decision taken by your hospital group on videotaping? Robert Modugno MD MBA FACOG Marietta, GA
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