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Re: C-section refusal From: Bernard Cristalli (bcrist@club-internet.fr) Sun Aug 24 06:15:42 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Bernard Cristalli: "Pelvimetry and VBAC" Previous message: Bernard Cristalli: "Re: CT Pelvimetry/Walk-ins (long story)" Maybe in reply to: Raul Dorbecker: "C-section refusal" Next in thread: Dr Eberhard W Lisse: "Re: C-section refusal" Reply: Dr Eberhard W Lisse: "Re: C-section refusal" Dr Eberhard W Lisse wrote: > > Bernard > > I find this quite frightening. Is this not a communication/education > problem, reflecting on your antenatal care, or lack thereof? Eg, do > these women come for ANC or do they see the Maternity section for the > first time when they are in established labour? > > If they come, are they introduced in their native language to what is > going to happen and what can happen? I know of course that French is > quite prevalent in France :-)-O but if it is a cultural thing, or fear > or whatever one must address this beforehand. > > I deal almost exclusively with black African women, none from Mali > though :-)-O, and have only once had this problem. (Pre-Eclampsia, > delivered normally, then had retained placenta, bled a lot, manual > removal, and died from pulmonary edema eventually, when we were trying > to replace the fluid, slowly and with consultant support.) Our ANC > attendance is almost 100% out of 600 deliveries. In the big hospital > in the capital it is 70-80% out of 6000 per year. > -- What does ANC stands for (isn't it Mandela's party?) These problems occur in women knowing the hospital and the team. It happened to me once with an african certified nurse (certified in France). She refused the CS 3 or 4 times despite a stagnation at 8 cms for 3 hours. Three more hours later she was at complete dilatation but not engaged. One hour later there was at a shy beginning of engagement and the FHR began to be troubled. I told her once more that a CS was the only reasonable solution which she refused again so I did a trial forceps in the OR. It wasn't an easy one... she thanked me. *I have no recent news of the child* -- Bernard Cristalli MD CNGOF AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm Next message: Bernard Cristalli: "Pelvimetry and VBAC" Previous message: Bernard Cristalli: "Re: CT Pelvimetry/Walk-ins (long story)" Maybe in reply to: Raul Dorbecker: "C-section refusal" Next in thread: Dr Eberhard W Lisse: "Re: C-section refusal" Reply: Dr Eberhard W Lisse: "Re: C-section refusal"

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