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Re: Cesarean Rates in South FloridaFrom: Myer S. Bornstein (mborn@massmed.org)Wed Dec 31 06:05:32 1997
. My colleagues and I make every attempt to encourage a trial of labor. We provide verbal and written information, and support all reasonable attempts at VBAC. Still, a considerable number of women reject this and opt for a repeat c/section, mostly, I think, due to convenience issues. The majority of "resident" patients go for a trial of labor, whereas most "private" patients are opting for a repeat c/section. In my practice we encourage VBAC's, the patient receives the ACOG pamphlet, they see the video that BS of Massachusetts had produced. About 65 % of my patients try and about 65% have a vaginal delivery. We just had a session on C/S with chart review done by Dr. `Don Coustan of Women and Infant's Hospital, Providence RI. On of the facts he gave was that the resident service had a lower section rate than the Private service. A reason could be that the residents are on for a definitive shift, and when tit is finished they are off and the patient is the responsibility of the next person, so that time constraints do not enter into the equation.
-- Myer S. Bornstein, M.D. FACOG Director Department of Obstetrics and Gynecology Morton Hospital and Medical Center Taunton, MA 02780 Mass State Representative obgyn.net
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