|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: VBAC dying art>From: vnellsch (vnellsch@eastex.net)Mon Mar 30 18:30:51 2009
i am in a small community hospital about an hour north of houston, texas. i have been quietly doing vbacs here for the last ten years. no troubles from doing them, but here recently, the hospital, spurred on by some of the labor and delivery nurses, have promulgated a policy that may keep me from doing many. verner nellsch, md
> ----- Original Message ----- Hi Folks Is VBAC a dying art? Recent article in TIME magazine (March 16,2009) says that VBAC rate is lowest at 8%. The overall C Section rate has increased more than 50% than 1996. New survey shows that 28% hospitals do not allow VBAC as a policy. Dr Carolyn Zelop co authour of ACOGs recent VBAC guideline says that to make VBAC safe ,guidelines have changed wording "readily available" to "immediately available". Some interpreted it as having whole team physically present through out labour. Some major lawsuits have raised insuarence premium for VBAC. ACOG conducted survey of 10,659 gynecologist in 2006. 26% said they have given up vbac totally. 33% said they had dropped vbac out of fear of litigation. In The year 2005 57% patients with previous c section wanted to try vbac but denied. With less VBACS the residents are not getting enough training and this art may soon die. In India we are following footsteps of our US friends but we have no exact data Dr Hemant Damle Prof & Head Dept of Obs/Gyn SKN Medical College Pune India
|
|
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.