Re: OB:Cesarean for anencephaly

From: Betsy Hyde (elishyde@connix.com)
Tue Oct 12 17:06:05 1999


At 10:06 PM 10/11/99, Dr. Roger Klam wrote: >I asked my wife and she wondered who would pay the NICU costs while the
>child was still alive. The child ,by law would have to go to the NICUor
>else the hospital could be charged with malpractice.

I don't think this is a law, Roger, and it is certainly not what happens at my hospital...assuming the parents desire contact with their baby between birth and death.

Babies born alive with abnormalities incompatible w/ life have a *brief* check by the neonatologists to confirm the diagnosis, and then get wrapped and go to their parents, where they stay as long as the parents want. An example is a fetus who was a thanatophoric dwarf. Delivered by c/s because his head was just too big for vaginal birth without destructive procedure. Went to peds for less than 5 minutes, and then to his father's arms while the c/s was completed.

Ditto with previable fetuses.

--
Betsy Hyde CNM
Branford, CT




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