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Re: Term IUFD and suspected gestational hypertension From: Anna Meenan, MD (annam@uic.edu) Sun Apr 23 10:06:19 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Jane Wines: "Re: Failed Home VBAC after 3 previous C/S - Stillbirth" Previous message: Anna Meenan, MD: "Re: Homebirth, was VBAC, ect" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Term IUFD and suspected gestational hypertension" Next in thread: fran wilson: "Re: Term IUFD and suspected gestational hypertension" I'm not sure that's accurate, John, and the ones that did show increased morbidity/mortality generally included all out-of-hospital births, including unplanned, unattended homebirths, taxi births, etc. (there was a large study reported in AJOG or Ob-Gyn with great fanfare several years ago that included all OOH births that OB's are still quoting to this day as justification for universal hospital births.) I will try to go dig up some of my references (filed away when I "retired") sometime, but I'm too tired now (spent 22 out of 37 hours in the car Friday and Saturday taking my kid to a supervisor seminar for his summer job in Ohio and back to college). And i agree with Heidi, particularly if the "risks" don't reach statistical significance, why do we defer to the wishes of the pt. who wants the unecessary hysterotomy in the name of patient autonomy and choice, but the patient choice of the home birth patient is criminalized? And the risks of the hysterotomy include potential risks to babies, just not the current one. The increased risk of placenta previa, scar dehiscence, and apparently possible stillbirth will affect her next baby. At Sun, 23 Apr 2006, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. wrote: > >Ever large North-American retrosepective review of outcomes from >Home-Births has soon an increased neonatal morbidity and Mortality >associated with home births Vs. Hospital, yes in some of the studies >the difference did not reach statisical significance, offcourse you >could do a large Randomized controll study to prove whether this was >statistically and clinical significant. Ethically it would mean you >would be willing to risk sacrificing some babies lives to prove the >point. > >-- > Take care, John > Next message: Jane Wines: "Re: Failed Home VBAC after 3 previous C/S - Stillbirth" Previous message: Anna Meenan, MD: "Re: Homebirth, was VBAC, ect" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Term IUFD and suspected gestational hypertension" Next in thread: fran wilson: "Re: Term IUFD and suspected gestational hypertension"

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