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Re: Ob: Arrest of dilatationFrom: Stmidwife@aol.comThu Aug 3 11:18:33 2006
In a message dated 8/3/2006 4:25:56 A.M. Pacific Standard Time, ob-gyn-l@obgyn.net writes: What's the solution? I think that each case is individual and I thought that she was being induced for mild hypertension not pre-eclampsia. I think that there are questions unanswered that I would have to know before even guessing at this or any individual situation such as what was her GBS status? How ripe was her cx prior to labor? Are her dates correct? How was her hypertension in pregnancy managed and for how long? Was her fever from her epidural or did she have an infection? What do her cultures show? ect. Even with all of this knowledge, she made her medical choices and didn't want the c-section and wanted a chance to give birth vaginally. So, she can walk away knowing that she tried everything to have a vaginal birth with no regrets. If she had not it sounds like she would have been second guessing herself which would have made for a rough post-partum emotionally. I am sure everyone on this list has seen this senario as I have working in L& D with both vaginal/c-sect outcomes. Also, as much as we can guess what a woman's body will do during labor we don't really "know" until that moment comes. A medical waiver would be appropriate in office if someone explaining risks and needs some proof of explanation, but it seems this woman was taking responsibility for her choices, its not like she completely ignored the advice to be induced. Sue Colossians 3:12: And so, as those who have been chosen of God, holy and beloved, put on a heart of compassion, kindness, humility, gentleness and patience…
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