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Re: vbac on demandFrom: Glen Elrod (dr99645@yahoo.com)Mon May 12 19:30:15 2008
How about putting her in a private car and sending her to the local certified direct entry midwifery house? TIC Glen
>----- Original Message ---- DoctorJoe@aol.com wrote: Who/where had she received (if any) her prenatal care? Gordon In a message dated 5/11/08 7:29:15 AM, vnellsch@eastex.net writes: 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. Since your hospital obviously cannot provide the generally agreed upon coverage apparently, and she is only 1 cm, can she be transferred? Joe P.
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