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Re: BreechFrom: John G. M. Robertson MD (jgmr@unixg.ubc.ca)Thu Dec 28 09:56:06 1995
First I don't think you pontificate. If that is what other people call it then so be it, but don't stop. There is a difference between "everyone has a right to their own opinion" and "everyone has a right to MY opinoin" and I think you stick to the former. WRT breeches and OP/OT presentations, it may be too hard on then to say that abdominal delivery is th edelivery method of choice for the op/ot but I have certainly seen and met a number of OBGYN's from the US who feel that all breeches chould be delivered abdominally. In an anecdotal comparison, a resident I went through with and myself met up with some of our US counterparts while we wre in training. They were about to finish residency and were "counting notches on their belts". They had both don 4 vaginal breeches in their four years and were quite proud of this. Neither of us said anything but later we figured we had both done 4 in our first year. Until the climate in the teaching centres is permissive enough to allow for residents to get experience in difficult/operative vaginal deliveries Nobody will feel confident doing them out in practice. The Canadian consencus I mentioned earlier in the month warned of the possibility of the art of breech vaginal delivery being lost if we do not intervene soon! J.G.M.Robertson MD, 109-9181 Main St. Chilliwack, B.C. V2P 3M9 (604) 793-9988 e-mail jgmr@unixg.ubc.ca The best we can do for one another is to exchange our thoughts freely; and that, after all, is about all. James A. Froude (1818-1894) On Tue, 26 Dec 1995, David Nagey wrote:
>I'm sorry to wade in when I have been accused of pontification in the past but i must say that I feel that any OB/Gyn who was not trained in the effective management of the vaginal breech or the vaginal OP/OT or other operative vaginal delivery - has simply not been adequately trained. The abdominal delivery of the OP/OT at +2 station is obviously now standard of care - but is also inadequate care. I am sorry to see this degredation of our specialty and will continue to see to it that our residents are appropriately trained.
>David
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