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Re: Delivery mode in a patient with a previous rectovaginal fistula From: Len2976@aol.com Fri Aug 29 11:53:51 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Richard Chudacoff, MD: "Re: Wha' do I do now?" Previous message: Geffrey Klein: "persistent HCG" Maybe in reply to: Dr Ron Jewell: "Delivery mode in a patient with a previous rectovaginal fistula" Next in thread: Bernard Cristalli: "Re: Delivery mode in a patient with a previous rectovaginal fistula" The physicians (and CNMs) in our practice would advise an elective C/S on this patient. In fact we have done so on a few occasions. If she declined and desired a vaginal birth, we would see that she was well counseled on the risks of a recurrent rectovaginal fistula no matter what was done to prevent it. I don't know about Australia, but in the U.S. the medical-legal issue in this type of case is significant. Lenora McCall, CNM Next message: Richard Chudacoff, MD: "Re: Wha' do I do now?" Previous message: Geffrey Klein: "persistent HCG" Maybe in reply to: Dr Ron Jewell: "Delivery mode in a patient with a previous rectovaginal fistula" Next in thread: Bernard Cristalli: "Re: Delivery mode in a patient with a previous rectovaginal fistula"

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