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Re: c/sec in 14 y/oFrom: Trish Goudie (jtgoudie@3rivers.net)Sat Nov 29 17:16:35 1997
> It's obvious her pitocin receptors were not fully developed yet, > since there was no uterine response, and a Bishop score of 6 is not > considered sufficient for a successful induction.
>A Bishop score of 6 is more then sufficiant for the addition of Obviously, not. Anyway, Bishop score of 5-7 is still considered only 75% successful for initial induction of labor.
>What we have here is a failed induction and failed inductions get C/S. No, what we have here is a doctor's overzealous attempt to control this woman's delivery. His mind was made up: she would need a c/sec, all he did was a "token" induction attempt. I am appalled by the responses from listmembers who seem to think, "oh well, failed induction...c/sec is necessary". When this case was first posted, many responded contradicting this doctor's reasoning that this woman would "need" a section merely for her age. Where are you now? The thread changed to discussing the merits of the type of incision, instead of why and how this labor was mismanaged, leading to section. I have read that the section rate in Brazil is exhorbitantly high: I guess this case exemplifies the reason for it.
-- Trish Goudie, RN, CNM, MSN Assistant Professor of Nursing Montana State University--Northern Great Falls, Montana
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