Re: VBAC dying art>
From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Mon Mar 30 20:48:44 2009
Well put, El.
Garry
At Mon, 30 Mar 2009, Dr Eberhard W Lisse wrote:
>
>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
>>
>> Is VBAC a dying art?
>
>--
>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
>
--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA
