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Re: Time Magazine Article-Trouble With Repeat CesareansFrom: Andrew Folley (agfolley@hotmail.com)Thu Feb 26 10:08:55 2009
Therein lies the dimlemna. To decrease the number of primary c-sections it is necessary to be confident and competent in the delivery of breeches, twins, use of forceps and vacuum (our lost art) and have an understanding of fetal monitor interpretation. (ie not sectioning everyone with a suspicious tracing). Allowing more natural birth processes and less medically unnecessary inductions. (Did I mention the need to "kill" all the lawyers and other bottom feeders??) . <johnprov@sympatico.ca> wrote: Its all how you sell it, there are enough big studies out there that it would be unethical to advise a Mom a VBAC is as safe for the babby as a repeat c-section, another factor which is often not explained to mom's is that a c-section from a failed VBAC is more likely to have complications than an elective repeat c-section. That coupled with the fact most Mom's stop at 2-3 children and you get the results you see. In todays enviroment the only way to decearse the amount of repeat c-sections is to decrease the rate of primary c-sections.
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Take care, John
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