--
Richard Chudacoff, MD, FACOG
-----Original Message-----
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Charlie
Chambers
Sent: Wednesday, May 20, 2009 7:42 AM
To: Multiple recipients of list OB-GYN-L
Subject: Re: induction of breech at term
Perhaps I wasn't clear. We are working on a protocol to address
vaginal breech deliveries. We have had much debate whether to mandate
whether medically indicated inductions would be allowed in this
protocol. I wanted to get the group's input with this issue. I
understand that some of you believe that doing vaginal breech
deliveries are currently a "crapshoot" medicolegally. Let's just
assume that tenet. However, I've had a very long look at the data and
current national guidelines which do not view this as absolutely
foolhardy. I also understand that lawyers will find any opportunity to
exploit the system but that applies to entire field of obstetrics as
well. I plan to go forward doing whatever I believe is the best
medical care guided by evidence and not be wholly led by attorneys or
by fear. Realizing that when the opportunity arises any of us by
circumstance could be forced out of our chosen profession by the legal
profession.
So, going back to my original question, those of you that still
perform vaginal breech deliveries, what are your opinions about
allowing medically indicated inductions?
Thanks.
**************************************************************************
Charlie Chambers
Hood River, OR USA
cchamber@alumni. rice. edu
"I'm a goin fishin.
Yeah, I'm goin fishin
And my baby's goin fishin too!"
Taj Mahal
************************************************************************
On May 20, 2009, at 6:35 AM, Richard Chudacoff, MD wrote:
--
> That is different than have an induction protocol for breech
> deliveries
>
> Richard Chudacoff, MD, FACOG
> Las Vegas International Center for Advanced Gynecologic Care
> (Specializing in Minimally and Non-Invasive Surgery)
>
> -----Original Message-----
> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
> Charlie
> Chambers
> Sent: Wednesday, May 20, 2009 5:56 AM
> To: Multiple recipients of list OB-GYN-L
> Subject: Re: induction of breech at term
>
> Thanks everyone for your input. The hospital is approaching this issue
> from the ACOG guideline which states that patients should have a
> version or offer for cesarean section. However, it is reasonable to
> offer a trial of labor under the guidance of "hospital specific
> protocol". The hospital is driving the desire to have such a protocol.
> I'm trying to guide the committee into coming up with a sound
> document. In addition, a consent is being generated which is pretty
> intimidating. I find this approach no different than some of the
> consents for VBAC that I've seen passed around. I do believe the net
> effect will be to convince all patients to have a cesarean section.
>
> **************************************************************************
> Charlie Chambers
> Hood River, OR USA
> cchamber@alumni. rice. edu
>
> "I'm a goin fishin.
> Yeah, I'm goin fishin
> And my baby's goin fishin too!"
> Taj Mahal
>
> ************************************************************************
>
> On May 19, 2009, at 2:20 PM, Richard Chudacoff wrote:
>
>> Charlie
>>
>> It seems like nobody on this list wants to give you any support for
>> your
>> breech protocol. On the other hand, as good friends, we are telling
>> you
>> that you probably should not support a breech protocol. Personally
>> I think
>> just supporting a protocol such as this jeopardizes your medical
>> career. So
>> you may want to think this thing over. As Art says, just my opinion;
>> it
>> could be wrong
>>
>> Richard Chudacoff, MD, FACOG
>>
>> -----Original Message-----
>> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of art
>> fougner, md
>> Sent: Tuesday, May 19, 2009 1:59 PM
>> To: Multiple recipients of list OB-GYN-L
>> Subject: Re: induction of breech at term
>>
>> Whoever writes such a protocol may find himself in an institution.
>>
>> Just my opinion. I could be wrong.
>>
>> Art
>>
>> At Tue, 19 May 2009, Charlie Chambers wrote:
>>>
>> . I've
>>> looked over a number of other institutions who have protocols as
>>> well.
>>>
>
***************************************************************************
>> *
>>
>> --
>> art fougner, md
>> "May The Wings of Liberty Never Lose a Feather." - Jack Burton
>>
>
