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Re: vaginal breech From: R. Daniel Braun (rBraun@IUNET.IUPUI.EDU) Fri May 31 13:03:52 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: charlie chambers: "menke's syndrome" Previous message: OBDocRick@aol.com: "Re: vaginal breech" You are right on target as to why so few vaginal breeches are delivered in the real world. Many residency programs still do vaginal breeches and write articles about the safety of doing so when you follow their protocol. They also actually do vaginal breeches in that setting. Then when they leave that setting (leave the faculty and go into private practice) there is no way they will do it. It is a lot easier to do a cesarean and go home and have a martini than it is to sit around L & D all night worrying about the labor of this patient and sweating through the delivery. Also if something should happen, you can say "Well I did a cesarean, what more can you expect ?" Your malpractice carrier likes you better. You even get paid more !!!!!!!!!!!!!!!!!!!!!!! Gee, why don't we do more vaginal breech deliveries? R. Daniel Braun,MD FACOG >>> <OBDocRick@aol.com> 05/31/96 11:21am >>> Once heard of a chair at a residency program in the midwest who told his residents "I'd never recommend doing a vaginal breech, but would be willing to testify for the plantiff at the trial." I think with the medio-legal climate of today, how can anyone justify (to their insurance carriers, not to mention a jury) a poor outcome if these "experts" are willing to take the stand against such a procedure? While all the texts have criteria for vaginal breeches, no one in my residency (ie. the perinatalogist) where will to supervise, except in the case of a second twin (if we could grab the feet quickly enough before the transducer externally verted the fetus.) Rick Chudacoff, MD Next message: charlie chambers: "menke's syndrome" Previous message: OBDocRick@aol.com: "Re: vaginal breech"

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