Re: 'There is no gold standard for decision-to-incision time' ???

From: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)
Mon Oct 8 09:18:34 2007


At Mon, 8 Oct 2007, Raymond Stephen wrote: >
>In my view, there is rarely an indication to section for a dead baby,
>BUT informing a mother on the table that her baby is dead and you are
>not going to proceed with the Caesar after all, is not a situation I
>would relish!
>
>Steve
>
>________________________________

What the old farts taught me first more the three decades ago is still >________________________________

true and will always be true, mother always comes first. Would I do a c-section soley for a still birth, yes if I could not convince the mother otherwise. I have delieverd dozens of stillbirths and so far I have never had to do a c-section solely for a stillbirth, once you have made the diagnosis of stillbirth, stop, step back and discuss ; all urgency is gone. Dr. Provatopoulos arguably an old fart by many. And yes I have told Mom's on the table we can't help baby anymore.

--
                                 Take care, John




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