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Re: OB: Planned Home Birth After Previous Cesarean From: Charles Bloom (cdsb@bellsouth.net) Mon May 5 16:59:53 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Charles Bloom: "Re: OB: Planned Home Birth After Previous Cesarean" Previous message: GIN11153@aol.com: "Who Takes Credit Cards...and Other Lessons on Getting Paid article" In reply to: Glen Elrod: "Re: OB: Planned Home Birth After Previous Cesarean" Glen, I never said that it wasn't an important issue for you. I was just commenting that the question posed to obstetricians "Should women attempt home birth after C-section?" was absurd. There is not one obstetrician that I know that would answer "Yes" to that question. As to what you can do about those patients that choose to go that route, the unfortunate answer is NOTHING. You can no more stop people from attempting VBAC's at home than you can stop them from smoking, doing drugs, or playing Russian roulette. Charles _____ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Glen Elrod Sent: Monday, May 05, 2008 2:14 PM To: Multiple recipients of list OB-GYN-L Subject: Re: OB: Planned Home Birth After Previous Cesarean Folks are choosing this. It may not impact those docs in big hospitals with rare EMTALA call to handle the drop ins, but here where I take essentially 1:4 EMTALA call it is a BIG issue with how to a)educate patients and b)work to have a less adversarial relationship with the midwives. Glen >----- Original Message ---- From: "art fougner, md" <evsono@pipeline.com> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net> Sent: Sunday, May 4, 2008 5:43:45 AM Subject: Re: OB: Planned Home Birth After Previous Cesarean Barbieri's not running out of material if we're kicking this around. Folks out there are opting for this, whether their reality checks are overdrawn or not. Art At Sun, 4 May 2008, Charles Bloom wrote: > >The question in the title of the OBG Management editorial. > >Should women attempt home birth after C-section? > >.if posed to obstetricians, is absurd. The standard of practice in most, if >not all, hospitals that are still doing VBACs is that the obstetricians have >to be in-house during active labor for an emergency Cesarean if necessary. >Therefore, the second question of the editorial. > >Is this a valid birth plan? > >.if posed to obstetricians, is also absurd and the answer is obviously no. >Any obstetrician that willingly participates in this birth plan is an idiot. >There is no need to read further and certainly no need to debate this. >Barbieri must be running out of material. > >Unfortunately, there are many people out there doing many dangerous things >and when there is a problem with their risky behavior and they show up at >the hospital on our watch, we have the ethical, moral and EMTALA >responsibility to do what we can for them. > >Charles > >> Date: Fri, 2 May 2008 12:24:06 -0500 >> From: evsono@pipeline.com >> To: ob-gyn-l@mail.obgyn.net >> Subject: OB: Planned Home Birth After Previous Cesarean >> >> Valid birth plan or outrageous choice? >> http://www.obgmanagement.com/article_pages.asp?AID=6140 <http://www.obgmanagement.com/article_pages.asp?AID=6140&UID> &UID> >> Have at it! >> >> Art >> >> -- >> art fougner, md >> "May The Wings of Liberty Never Lose a Feather." - Jack Burton -- art fougner, md "May The Wings of Liberty Never Lose a Feather." - Jack Burton _____ Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try <http://us.rd.yahoo.com/evtQ733/*http:/mobile.yahoo.com/;_ylt=Ahu06i62sR8H DtDypao8Wcj9tAcJ > it now. Next message: Charles Bloom: "Re: OB: Planned Home Birth After Previous Cesarean" Previous message: GIN11153@aol.com: "Who Takes Credit Cards...and Other Lessons on Getting Paid article" In reply to: Glen Elrod: "Re: OB: Planned Home Birth After Previous Cesarean"

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