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Re: VBAC dying art> From: Dr Eberhard W Lisse (el@lisse.NA) Tue Mar 31 02:48:13 2009 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Anne Schnedl: "vbac availability - Atlanta, GA" Previous message: Dr Eberhard W Lisse: "Re: VBAC dying art>" In reply to: Hugo D Ribot Jr: "Re: VBAC dying art>" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: VBAC dying art>" Hugo, You are missing the point. It's the ones that go wrong, that you need to make a plan for, not the ones that go right. And I don't mean that in a medico-legal sense, purely from anticipation of and preparedness for disasters. The US malpractice lawyers only add flavor to the cake. Again, if I could do the 17 minutes, I would consider VABCs and I have been even more hands-off when I still did. el Hugo D Ribot Jr wrote: > I feel that as long as several guidelines are adhered to: > > - avoid induction of labor (other than AROM in someone with a huge > Bishop score already contracting) > - avoid usage of prostaglandin agents > - limit use (and dosage) of oxytocin for augmentation to patients > already in true labor with a soft, nearly fully effaced cervix at least > 3-4 cms > - avoid trial of labor with any prior vertical uterine incisions > > then VBACs are extremely safe and have a 80+% success rate. At least in > my 19 year experience. Next message: Anne Schnedl: "vbac availability - Atlanta, GA" Previous message: Dr Eberhard W Lisse: "Re: VBAC dying art>" In reply to: Hugo D Ribot Jr: "Re: VBAC dying art>" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: VBAC dying art>"

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