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RE: Ob: IVF candidateFrom: Ronald Ainsworth MD (ainsron@sbcglobal.net)Tue Sep 30 08:48:20 2008
This is a multipart message in MIME format. I agree with Joe. She should only be given the option of a singleton pregnancy and needs to understand that she could end up with a ruptured uterus, placenta acreta, etc. She needs to know that she could end up with no baby and a hysterectomy and that her living children could end up with no mother. Saying all that as non-biased as possible, the decision is ultimately hers. From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of DoctorJoe@aol.com Sent: Monday, September 29, 2008 9:30 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Ob: IVF candidate In a message dated 9/29/08 10:36:44 PM, islesannie@gmail.com writes: I am interested in seeing what those doing OB say - and that may include telling me I am off base here! Well, I don't do OB now. But I think you're HALF way off base. There are two questions here: 1) wanting another baby -- who is to say how many is too many? If you want to argue ZPG, go right ahead. But I don't think OBs (or witches) are supposed to strong-arm patients into having "only" 2 kids, or 3 kids, or 1 kid. Does RED CHINA mean anything to you? 2) purposefully trying for twins, especially with a scarred uterus -- now THAT is something a responsible OB can go balistic on. Primum non nocere is something that should be partially operative here. Don't go making things more difficult (twins!!!) that you have to. Don't go asking for trouble. There you go. You asked. Joe P.
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