Re: To push or not to push. That is the question. And here's another..
From: rmodugno@aol.com
Tue Jun 30 17:10:19 2009
Informed consent/refusal.
Robert Modugno MD MBA FACOG
Sylva, NC
-----Original Message-----
From: JD Stewart,MD <jdstewartmfmob@hotmail.com>
To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net>
Sent: Tue, Jun 30, 2009 11:17 am
Subject: Re: To push or not to push. That is the question. And here's
another..
Good place for informed consent and a patient choice in the matter. Her
vision will likely get worse as a matter of time no matter what happens;
and there is no risk free method to be born...so risk, benefit as we
would do for any elective first delivery c/s....and let her make the
call.
What would you do if, despite the warnings, she insisted on "going
natural?"
At Tue, 30 Jun 2009, R. Daniel Braun wrote:
>
>--0016368e1b118d8f9a046d90633f
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>I concur.Dan
>
>On Tue, Jun 30, 2009 at 12:47 AM, Bernard Cristalli
<bcrist@club-internet.fr
>> wrote:
>
>> Instead of an elective CS, epidural and forceps.
>> Bernard
>>
>> rmodugno@aol.com a écrit :
>>
>>> -----Original Message-----
>>> From: rmodugno@aol.com
>>> To: ob-gyn-l@ob-gyn.net
>>> Sent: Mon, Jun 29, 2009 3:44 pm
>>> Subject: To push or not to push. That is the question.
>>>
>>> 24 year old P0G1 - 21 weeks.Gives history of eye surgery in
Ukaraine at
>>> age 14 Details are not available.Was told at the time not to be
involved in
>>> anyt
hing that might involve jumping, horse back riding or "giving
birth
>>> naturally", presumably due to stresses/strain within the eye due to
her high
>>> myopia- this info from her local opthalmologist. At present retinal
exam is
>>> normal.He advised: that "normal' physical activity should not cause
any
>>> particular risk other than the fact of her high myopia and
increased risk
>>> of retinal detachment. Ofcourse he does not give any recommendations
>>> regarding delivery.
>>>
>>> She wants to know whether she should have an elective cesarean
section.
>>> What would YOU cyberobs do?
>>>
>>> Robert Modugno MD MBA FACOG
>>>
>>> Sylva, NC
>>>
>>> Save energy, paper and money -- get the Green Toolbar.
>>>
>--
>
>--
>R. Daniel Braun, MD FACOG(L) ABMP CMTh #20900069
>Professor Emeritus
>Dept. of Obstetrics and Gynecology
>Indiana U. School of Medicine
>
>R. Daniel Braun
>
> “Science without Religion is LAME; Religion without Science is
BLIND"
> Einstein 1941
>
>--0016368e1b118d8f9a046d90633f
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>Content-Transfer-Encoding: quoted-printable
>
>I concur.<div>Dan<br><br><div class="gmail_quote">On Tue, Jun 30, 2009
at 12:47 AM, Bernard Cristalli <span dir="ltr"><<a
href="mailto:bcrist@club-internet.fr">bcrist@club-internet.fr</a>></span>
wrote:<br><blockquote class="gmail_quote" style="margin:0 0 0
.8ex;border-left:1px #ccc
solid;padding-left:1ex;">
>Instead of an elective CS, epidural and forceps.<br>
>Bernard<br>
><br>
><a href="mailto:rmodugno@aol.com" target="_blank">rmodugno@aol.com</a>
a écrit :<br>
><blockquote class="gmail_quote" style="margin:0 0 0
.8ex;border-left:1px #ccc solid;padding-left:1ex"><div class="im">
><br>
>-----Original Message-----<br>
>From: <a href="mailto:rmodugno@aol.com"
target="_blank">rmodugno@aol.com</a><br>
>To: <a href="mailto:ob-gyn-l@ob-gyn.net"
target="_blank">ob-gyn-l@ob-gyn.net</a><br>
>Sent: Mon, Jun 29, 2009 3:44 pm<br>
>Subject: To push or not to push. That is the question.<br>
><br></div><div class="im">
>24 year old P0G1 - 21 weeks.Gives history of eye surgery in Ukaraine
at age 14 Details are not available.Was told at the time not to be
involved in anything that might involve jumping, horse back riding or
"giving birth naturally", presumably due to stresses/strain within the
eye due to her high myopia- this info from her local opthalmologist. At
present retinal exam is normal.He advised: that "normal' physical
activity should not cause any particular risk other than the fact of
her high myopia and increased risk of retinal detachment. Ofcourse he
does not give any recommendations regarding delivery.<br>
>
><br>
> <br>
><br>
>She wants to know whether she should have an elective cesarean
section. What would YOU cyberobs do?<br>
><br>
> <br>
><br></div><div class="im">
>Robert Modugno MD MBA FACOG<br>
><br>
>Sylva, NC<br>
><br>
>Save energy, paper and money -- get the Green Toolbar.<br>
><br>
></div></blockquote>
><br>
></blockquote></div><br>
>FACOG(L) ABMP CMTh #20900069<br>Professor Emeritus<br>Dept. of
Obstetrics and Gynecology<br>Indiana U. School of
Medicine<br><br><br>R. Daniel Braun<br>
><br> “Science without Religion is LAME; Religion without Science
is BLIND"<br> Einstein 1941<br>
></div>
>
>--0016368e1b118d8f9a046d90633f--
>
--
JD Stewart, MD
MFM up all night, every night
10 years later..
