-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: vbac on demand From: verner nellsch (vnellsch@eastex.net) Sun May 11 20:19:46 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: verner nellsch: "Re: vbac on demand" Previous message: verner nellsch: "Re: vbac on demand" In reply to: Dr Eberhard W Lisse: "Re: vbac on demand" Next in thread: Jamie: "Re: vbac on demand" Reply: Jamie: "Re: vbac on demand" thanks. witnesses and document. i still feel exposed, and subject to the whims of someone who just wants what they want, and to hell with other considerations. vnellsch >----- Original Message ----- From: "Dr Eberhard W Lisse" <el@lisse.na> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@mail.obgyn.net> Sent: Sunday, May 11, 2008 8:38 AM Subject: 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: verner nellsch: "Re: vbac on demand" Previous message: verner nellsch: "Re: vbac on demand" In reply to: Dr Eberhard W Lisse: "Re: vbac on demand" Next in thread: Jamie: "Re: vbac on demand" Reply: Jamie: "Re: vbac on demand"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Tue Dec 2 04:56:21 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.