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Re: Catastrophic VBAC's From: art fougner, md (evsono@pipeline.com) Mon Feb 9 13:35:33 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: MMadrona@aol.com: "VBAC's" Previous message: R. Daniel Braun, M.D.: "Re: Catastrophic VBAC's" Bravo Dan but then that would be impolitic. art At Mon, 9 Feb 1998, R. Daniel Braun, M.D. wrote: > >-----Original Message----- >From: Michael J. Wolpmann, M.D. <elvis@llano.net> >To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net> >Date: Monday, February 09, 1998 2:39 PM >Subject: Catastrophic VBAC's > >>Interested in Listers responses: >> >>Member of our OBG section today summarized grim California and others >>experiences lately with VBAC, specifically that new data show uterine >>ruptures appear to be increased significantly over 1% frequently cited, >>with devastating consequences if section not done within 17 minutes. Now >>several big lawsuits are citing this "17 minute rule", stating ACOG's 30 >>minute rule no longer applies to VBACs. Anyone hear of this stuff? >>Specifics? >> >>What implications does this have for facilities with no in-house >>anesthesia? or no in-house 24 hour OB coverage? Should these facilities >>stop offering VBAC? Or change their coverage? Did we underestimate the >>dangers here? >> >Facilities without these coverages never should have been offering VBAC. >IMHO >Dan > >>Any data or opinions appreciated. >> >>Thank you. >> >>-- >>Michael >> >>Michael J. Wolpmann, M.D., FACOG >> -- art fougner, md SonoScan/Genetic Sciences forest hills, ny evsono@pipeline.com Next message: MMadrona@aol.com: "VBAC's" Previous message: R. Daniel Braun, M.D.: "Re: Catastrophic VBAC's"

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