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Re: vbac on demandFrom: Garry E. Siegel, M.D. (garrys@mindspring.com)Sun May 11 10:09:51 2008
1. I may have missed this--Dr. Nellsch, please introduce yourself to the list. 2. That said, ACOG has does not think that a VBAC is appropriate after two cesareans in the absence of a prior vaginal delivery. This is simple--tell her you cannot participate in a VBAC and that you advise a Cesarean now. If she refuses, have her sign a homemade refusal form. Since one can't operate on someone without consent, you're stuck sitting there with her until she labors/delvers or agrees. Then, all in the anesthetist and OR crew and ask them to sit with you. If they won't/can't/refuse, time to call the chief of staff and head nurse. That's my 2 cents. Garry Killing time waiting for a flight from Madrid to Rome with the family :)
At Sun, 11 May 2008, verner nellsch wrote:
>
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
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