Re: Patient choice CS

From: DoctorJoe@aol.com
Sat Apr 28 21:51:32 2007


In a message dated 4/28/07 5:43:58 PM, henrygregor@yahoo.com writes:

> I have a patient who has asked re pt choice elective CS delivery....has
> ACOG issued anything more recent in terms of Committee Opinions than a 20003
> opinion on the topic and a press release from the 2006 Clinical Meeting? That's
> the most recent material I dug up on a search of the ACOG site and with
> Google Scholar. However, others have told me there has been a new opinion issued.
>

Good question.

We were talking about that very subject today. My son's sister-in-law is about 31 weeks and she was making noise about an elective primary C-section for all the reasons everyone usually gives. My comment was, the trade off between maternal morbidity from a primary section is at very least a pretty good trade off against the potential neonatal morbidity of labor/delivery and the maternal morbidity of delivery or failed TOL and ultimate section. Still, it would be nice to have an "authoritative" and definitive statement on it, besides the usual mealy mouthed "give all the options to the patient/informed consent" comments.

Joe P.





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