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Re: vbac on demand From: Dr Eberhard W Lisse (el@lisse.na) Sun May 11 08:36:57 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr Eberhard W Lisse: "Re: vbac on demand:ask local judge" Previous message: DoctorJoe@aol.com: "Re: vbac on demand" In reply to: verner nellsch: "vbac on demand" Next in thread: verner nellsch: "Re: vbac on demand" Reply: verner nellsch: "Re: vbac on demand" Tape your discussion with the patient, get as many witnesses as you can, call your lawyer, insurance, Chief of Staff, Chief of Nursing and whoever else you can think of. And run as far away as you can. If you can't run away, get Peds, your assistant, OR and your anesthetist to come in, deliver her and if it ruptures, take her to the OR and try to save her life. We don't have EMTALA here, so in this particular situation I'd advise her and if she didn't want to listen, I would unaccept her, and refer her to the State Hospital. greetings, el On May 11, 2008, at 13:28, verner nellsch wrote: > question--you are an ob/gyn on call for a small community hospital > (3 delivery beds) with the or crew and anesthetist at home on call. > a 26 y/o g3p2 comes to the hospital, with a history of 2 previous > cesareans, the first for cephalopelvic disproportion. she is unknown > to you or the other ob/gyn practicing at the hospital. she is 1 cm, > ruptured, at term. she demands a vbac, and refuses to have a repeat > cesarean. Next message: Dr Eberhard W Lisse: "Re: vbac on demand:ask local judge" Previous message: DoctorJoe@aol.com: "Re: vbac on demand" In reply to: verner nellsch: "vbac on demand" Next in thread: verner nellsch: "Re: vbac on demand" Reply: verner nellsch: "Re: vbac on demand"

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