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Re: spontaneous labor/c-section

From: Amy (anonymous@obgyn.net)
Wed, 9 Jul 1997 21:00:35 -0500 (CDT)


At Wed, 9 Jul 1997, K.Tice wrote: >
>Dr Hill,
>
>Thanks for your advice. I had no idea there would be more risks if I go
>into spontaneous labor prior to having the c-section.

Kelly,

I think the important thing to realize here is that Dr. Hill said that the risks were greater IF you have a cesarean after going into labor! And that info, I believe, is based on ONE research study from the New England Journal of Medicine in Sept. 1996, which came out with results that complications for the mother were greater if a cesarean occurred after an unsuccessful attempt at a vaginal delivery.

I would be quite skeptical, and as long as there is not a medical reason for a repeat cesarean (which was indicated to me in your email reply), then your doctor should be encouraging you to try a VBAC. The ACOG has formally stated that VBAC is safer than repeat elective cesarean, and doctors should be encouraging it.

As far as scheduling goes, setting up a cesarean at 9am vs. 2 am is more convenient for the doctor... not more convenient for the baby. An OR team should NEVER be sleepy, no matter WHAT time an operation occurs. That is a flimsy excuse for scheduling a cesarean.

--
Amy



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