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Re: Informed Refusal - VBACFrom: LCLEMOS@aol.comThu Mar 16 04:54:00 2006
And you underestimate the trauma - and reported PTSD, that occurs for some women with the lack of control over events that occur to their bodies during some hospital experiences. Not me, not ever, but I listen to their stories as well as I listen to yours, and a select few feel their "chances" are as good at home. We need more debriefing after some of these events, because what is a "good outcome" to us, isn't always viewed the same by the families. When the patient/family loses trust in the system, they don't tell us everything after the event - we enter the room with "wow, that was close, but look how well it turned out, and you have this healthy baby and you'll be fine" and they are still in "oh my what in the world happened to me?" mode... I disagree with the Darwinian prediction below - women have reputedly VBAC'd safely at home - not all, but then not all do so safely in the hospital either - I'm willing to bet the statistics are on our side - but enough complete the journey safely without a hospital for the message to be present that it is possible. We can't underestimate the built in safety features and redundancies in support of the pregnant human body and fetus. Yes, we feel we see train wrecks on transfer, but is this because the success stories don't come? Laurie in ME (asbestos suit in place) In a message dated 3/15/2006 9:15:26 P.M. Eastern Standard Time, obgyndoc@swbell.net writes: OTOH, if you subscribe to the theory of 'natural selection', events that occur in that setting will eventuate in narrowing of the 'gene pool', so that kind of mentality will not propagate. Just a thought. Gordon M. Goldman, M.D., FACOG Private Practice, St. Louis, Missouri ----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Efrain Ramirez Sent: Wednesday, March 15, 2006 8:02 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Informed Refusal - VBAC At Wed, 15 Mar 2006, ainsron wrote: "....Some choose to deliver at home with a midwife - which I see as a far greater risk." I have always wondered why mothers-to-be do that -- what is the primordial reason behind choosing a situation that carries a far greater risk to her and the fetus? Ef
-- " The greatest obstacle to knowledge is not ignorance, it is the illusion of knowledge." Daniel J. Boorstin - Historian
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