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Re: *Elective* primary C/SFrom: James Taylor (taylorj@texas.net)Tue Aug 5 11:48:08 1997
---------- From: J. Bulley <jbulley@cheshire.net> To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net> Subject: Re: *Elective* primary C/S Date: Tuesday, August 05, 1997 6:17 AM If the patient is demanding a totally elective C/S out of fear then I would have long talks addressing the fear and perhaps use/recommend counseling (after I personally talked with the counselor - some would just say , yes she has great fear so do the C/S). Doing the C/S for her fear without gently discussing that issue only puts her at more jeopardy for other fear related disabilities later. If we do the C/S she has learned that someone she has much respect for (her doc) supports her fear and it will be "ok" to work along that disabling emotional path. Would I never do the C/S? Well .. I haven't yet, but I can see situations where that might be the only way to go for a particular person - but it would only be after much addressing of the fear issue so she would know I am not reinforcing her fear. Please clarify a statement for me. When you say, "Would I never do the C/S? Well...I haven't yet...", do you mean you haven't yet done a c/s simply because of a woman's fear of VBAC? Or that you haven't declined to perform a purely elective c/s because a woman feared VBAC? Jen Taylor
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