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Re: epidurals ... and NY C-section rates, Re: Dr. Harvey!!!

From: Amy (anonymous@obgyn.net)
Fri, 27 Feb 1998 19:19:05 -0600 (CST)


At Fri, 27 Feb 1998, Barbara wrote:

>Dr. Marchbein is of course not the Only Physician practicing at this hospital so therefore I do not feel he should be the one to b questioned about cesarean section rates at a hostital that he is affiliated with
but; does not do the Sole Delivery Of Newborns.

I do think you have picked the Wrong Doctor to confront as Dr. Marchbein has certainly proven himself to the women on this forum as a dedicated, knoweldgeable, kind, understanding, compasionaate, and sometimes, witty,....need I say more? physician that Donates, many, many hours each day to US!!! For FREE!!! >

As the Editor Of Women's Health at OBGYN.net, I take offence to Any remark towards him OR Any of our Wonderful Physicians and Medical Professionals that give Freely, of their time and knowledge to help all of us on our road to better understanding of our health conditions.

>Barbara Ann Nesbitt

Barbara,

Isn't this forum for educating women? I don't think Emma meant this as an attack on Dr. Marchbein, but in response to a series of posts (of which I sent a few) regarding the effects of epidurals. I asked Dr. Marchbein what the cesarean rate was at his hospital, because a 92% epidural rate seemed awfully high to me. I am looking for statistics to support this, but in the meantime, I wondered if they had a higher cesarean rate as well. Often, the two are correlated (again, I'm looking for references, so don't ask yet! : ) ).

As a consumer, I would assume that if a doctor works at a hospital that has an epidural rate of 92%, then his epidural rate is probably comparable, and that cesarean rates are also probably comparable. The information is out there. It's just a matter of gathering it, and an informed consumer will be able to find it, and make an informed decision about epidural use. I think that my original question to Dr. Marchbein was valid, and I also think Emma's post of the news article was valid. They are just pieces of the puzzle, to be put together by each woman to the best of her ability.

Dr. Marchbein is an excellent resource to your forum, but I don't think it is wrong to ask questions or supply information that may contradict what someone says (especially in the case of medical studies). Isn't that what educated patients should do? Shouldn't they look for different opinions, and make the best choice for them?

Respectfully,

--
Amy D
Birth Works student





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