Re: OB: NY Cesarean Boom
From: Andrew Folley (agfolley@hotmail.com)
Fri Dec 8 07:41:07 2006
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I think you made the right decsion as long as she was aware of the choices
and pros and cons etc and she chose to procede with the induction. Part of
it is clinical judgement. A primip at 41 weeks woth prom and a narrow
android pelvis with a LGA 81/2 pound baby in a posteriro presentation at
-2 may be best served by a primary c-section. andrew
>From: "Elrod, Darryl G Maj 48 MDOS/SGOBO" <Darryl.elrod@LAKENHEATH.AF.MIL>
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: RE: OB: NY Cesarean Boom
>Date: Fri, 8 Dec 2006 07:53:20 -0600
>
>I had a primip at 41 wks come in ruptured two mornings ago. After 8
>hours of observation she had not gone into labor. At that point she
>requested a c-section. I gave her all sorts of reason why it wasn't
>indicated etc etc, and proceeded on with an induction. My partner then
>subsequently sectioned her after 6 hours of no change at 4cm with
>adequate contractions. I think she had been ruptured and 'in labor' for
>38 hours by then.
>
>Given that I don't really have any beef with doing elective cesarean
>sections if I've had a good long time to discuss it with them, I felt
>almost like I did her a disservice by not giving in to her desires and
>doing her section right away.
>
>I whole-heartedly think it will hit 50% and sooner rather than later.
>
>Glen
>
>//SIGNED//
>
>D. Glen Elrod, Maj., USAF, MC
>
>Obstetrician/Gynecologist
>
>Chief of Obstetrics
>
>48 MDOS/SGOBO
>
>RAF Lakenheath, England
>
>Telephone DSN: 314-226-8130
>
> Comm: +44 (0) 1638 52 8130
>
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>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Joe
>Cutchin
>Sent: Thursday, December 07, 2006 4:00 PM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: OB: NY Cesarean Boom
>
>Two reasons: First is patient desire. Second is that physician does not
>want to spend 7 years in graduate training and find his life's career
>threatened by junk science( I include EFM) and a debunked lousy legal
>system. As Art would say, I might be wrong but I've been there. Joe C
>
>acmidwife@netscape.net wrote:
> > Why so high, Joe C? What leads you to believe it will reach 50%? Just
> > curious. ac mase CNM
> >
> > -----Original Message-----
> > From: forcep@intercom.net
> > To: ob-gyn-l@dns.obgyn.net
> > Sent: Thu, 7 Dec 2006 9:11 AM
> > Subject: Re: OB: NY Cesarean Boom
> >
> > Our rate here now is 35%. Some time ago I predicted 50% and I think I
> > will be proven correct. Joe C
> >
> > art fougner, md wrote:
> >
> > > The number of Caesarean births has shot up 7 percent at the city's
>44
> > > maternity hospitals, according to a report released yesterday.
> > > > In all, 28.6 percent of city-hospital births were delivered via
> > > C-section in 2004, up from 26.6 percent in 2003.
> > > > >
> >
>http://www.nypost.com/php/pfriendly/print.php?url=http://www.nypost.com/
>seven/12052006/news/regionalnews/caesarean_baby_boom_regionalnews_carl_c
>ampanile.htm
> > > > --
> > > art fougner, md
> > > "May The Wings of Liberty Never Lose a Feather." - Jack Burton
> > > > >
> >
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