|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: VBAC dying art>From: Dr Eberhard W Lisse (el@lisse.NA)Mon Mar 30 12:22:07 2009
We are not artists. And, this the Man of Steel debate we have had a 1000 times already. There is nothing wrong with VABC, per se. However, evidence shows that the rate of uterine rupture is much higher than for NVDs. And, studies also showed that when you have the baby out within 17 minutes after the first abnormality was noted (on the CTG) all babies survived. That means in practice, you, your assistant, the Anaesthetist, the Pediatrican and all supporting staff *HAVE* to be on site, whenever you do a VABC. Since this is not predictable it may happen that you have two or three at the same time, which means you need to have a FULL team for EACH on site. That has financial implications which are the main cause of the "refusal" of many hospitals to allow VABCs. And, of course even if you could have all 15 staff sitting there, and the patient had signed the most involved informed consent known to man, if something went wrong, what would she do? Sue, whoever has deep pockets. And especially those ones who insist on procedures that the treating O&G is not comfortable with. And elective Cesarean Sections are so safe today, that I also wonder why bother? By the way, why is it that I can't google anything on SKN Medical College, Pune, India? el
Hemant Damle wrote:
> Hi Folks
-- Dr. Eberhard W. Lisse \ / Obstetrician & Gynaecologist (Saar) el@lisse.NA el108-ARIN / * | Telephone: +264 81 124 6733 (cell) PO Box 8421 \ / Please do NOT email to this address Bachbrecht, Namibia ;____/ if it is DNS related in ANY way
|
|
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: Mon Nov 2 05:14:14 2009 |
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.