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Re: New CaseFrom: Tonya Von Brooks, CPM (nbwc@ix.netcom.com)Tue Aug 31 02:04:18 1999
> . > > :Dear Remaining Listers, I had an interesting case this afternoon . A 35 yo G2P1 from Pakistan walked into my office wanting a Silent Delivery and vaginal birth . She said she is really healthy and had no problems with her first pregnancy but that in Pakistan C/S is used as population control because women aren't allowed to have more than 4 C/S. She then showed me her vertical scarred uterus . I asked why the C/S was done and she said they told her she has a contracted pelvis. I examined her- She doesn't but she does have a narrow arch . I asked why a vaginal was so important to her . It seems she was awake and aware but unable to move or speak during th surgery . She also felt the surgery ! This lady is intelligent and college educated . But after her experiences she says she doesnt intend to return to a hospital . She is a more than lousy candidate for out of the hospital birth . And she has a pelvis that it would take lots of labor to push a baby through it . I offered to go to the hospital with her. Any good ideas comments or words of encouragement for this lady? Tonya Brooks
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