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Re: OB:Cesarean for anencephaly From: Armando Fuentes (afuentes@mindspring.com) Sat Oct 9 06:56:47 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Geffrey Klein, MD: "Re: OB:Cesarean for anencephaly" Previous message: Robert J. Woolley: "Re: Re : Do you perform reconstruction of the hymen on request?" Maybe in reply to: Sue Turner: "OB:Cesarean for anencephaly" Next in thread: Geffrey Klein, MD: "Re: OB:Cesarean for anencephaly" Reply: Geffrey Klein, MD: "Re: OB:Cesarean for anencephaly" This is why medicine is in the state that it is! We as physicians do far more cesarean sections than we should, even when it it morally questionable or when it suits our needs to avoid a litiganous situation. He is a woman who understands the risk of a cesarean section, but who only asks that she be allowed to hold a "live" baby for however long it has, and we would deny her that request. You think this is morally right? Please, be honest and ask your wives or daughters how they would feel about the situation, you might be surprised at their answer. Respectfully, Armando Fuentes, MD Maternal Fetal Center Orlando, Fl >----- Original Message ----- From: D. Ashley Hill, M.D. <dahmd@mpinet.net> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@talk.obgyn.net> Sent: Saturday, October 09, 1999 12:01 AM Subject: OB:Cesarean for anencephaly > Here is the dilemma: > > Patient nearing term with known anencephalic fetus desires fetal > monitoring during labor. If indicated by markedly abnormal fetal heart > tracing she desires cesarean delivery in order to hold her *living* baby > after he is born. Patient is well aware of hopelessness of situation > and risks of cesarean delivery, including rare but possible chance of > hysterectomy, sterility, blood transfusion, etc. > > I have a problem with performing a major abdominal operation for an > abnormal heart tracing with a nonviable pregnancy. However, I respect > her need to hold her baby after he is born. Any thoughts or advice? As > always, thank you. > > Ashley > > -- > David Ashley Hill, M.D. > Associate Director > Department of Obstetrics and Gynecology > Florida Hospital Family Practice Residency > Orlando, FL > http://home.mpinet.net/dahmd Next message: Geffrey Klein, MD: "Re: OB:Cesarean for anencephaly" Previous message: Robert J. Woolley: "Re: Re : Do you perform reconstruction of the hymen on request?" Maybe in reply to: Sue Turner: "OB:Cesarean for anencephaly" Next in thread: Geffrey Klein, MD: "Re: OB:Cesarean for anencephaly" Reply: Geffrey Klein, MD: "Re: OB:Cesarean for anencephaly"

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