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Re: Section on demandFrom: ainsron (ainsron@sbcglobal.net)Tue Apr 25 09:21:28 2006
After educating her like you have, I would schedule the C/S. The Herpes may simply be a red herring that she is using to legitimize her request, however I would honor it. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of RModugno@aol.com Sent: Monday, April 24, 2006 4:33 PM To: Multiple recipients of list OB-GYN-L Subject: Section on demand 24 year old P0G1, Social Worker, transfers into our practice at 35 weeks. Previous gyn patient of mine who felt that she was "not getting enough attention" at the OB group practice she was attending. Says, "Well, seeing I'm going to have a cesarean section, it should be a smooth transition." I think; "Whoa, what's goin on here?". She says: "I have HSV and I want to have a C.Section." Me: "Why? We usually give anti-HSV drugs in the last month to suppress attacks." She says; "I've done research and I don't think there is enough evidence to show that it does anything. So I don't want the medication, let's just schedule the section." Silly me: " You know that most OB's and Perinatologists in this area would suggest anti-HSV medications. It has reduced the incidence of sections in my experience, for active herpes. The medications are very safe. Let's go through the risks of C.Section...blah...blah". What would y'all ( MDs, CNMs, LMs,Unlicensed midwives, midwifery students, FPs, Doulas, RNs, lurkers) do? Robert Modugno MD MBA FACOG Marietta, GA
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