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Re: OB:Cesarean for anencephalyFrom: Bert Gold (bgold@ktb.net)Sat Oct 9 00:31:10 1999
Dear Ashley, Your patient needs to understand that she is in the process of grieving now, even though the fetus is growing inside her, and that she is depressed. Before he died, David Viscott taught me that all depression stems from loss, and in this situation, the loss of a dream is poignant. Though she may feel that C-section delivery will provide closure, I think your best bet is to convince your patient that her best chance to her achieve closure is through emotional catharsis, not physical torture, of herself, you, the fetus, or the father. Although you suggest in your communique that the patient is fully aware of the 'hopelessness' of the situation, I would suggest that she has not emotionally accepted it as hopeless. That is why she hangs on still. I can help you off line to locate a genetic counselor or social worker or psychiatrist/psychologist near you, should you wish to do a referral. Truly, this issue is in that realm, not in OB/GYN or genetics.
"D. Ashley Hill, M.D." wrote:
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