"Never fear. Him is here" - Captain Chaos (Dom DeLuise), Cannonball Run
Mace Windu: Then our worst fears have been realized. We must move quickly if the Jedi Order is to survive.
I am interested in knowing why medically they feel it necessary to refuse her.
I have to wonder if there is an MD convenience or an insurance re-imbursement issue. If they are paid a flat rate for the birth, they may not be reimbursed separately if after 30 hours of labor she still needs a C-section.
I had a C-section, I was told that it was very common to have VBAC and that was 20 years ago.
Would like to hear the MD side. If their practice is far outside of the norm, it would be interesting to know why.
After doing a little reading, it looks like VBAC after up to 2 C-sections is clearly accepted. She would have been attempting after 3 C-sections.
I would think her other option would be simple. Show up at the hospital in labor and refuse to sign the consent for C-section.
Last edited by year2late; 08-05-14 at 12:05 AM.
Acog does good work-like recommending the ultrasound prior to abortion that planned parenthood requires, but cried about when a state required it.
Last edited by US Conservative; 08-05-14 at 12:29 AM.
ACOG Supports Oklahoma Court Decision Ruling Ultrasound Act Unconstitutional - ACOG
And can you give statistics showing that the mortality rate of the infant increases - I would think that if her uterus ruptures, that a crash C-section would be done and the infant would stand a good chance of being fine - the mother might be in substantially more danger.None of these laws have anything to do with enhancing the health or safety of the patient, but merely establish bureaucratic barriers and add unnecessary emotional and financial stress to an already difficult decision. ACOG opposes any legislation that dictates medical practice and/or that interferes with the doctor-patient relationship. State legislators should not be determining the conversation between a woman and her doctor, regardless of the issue
But whether or not to have a major surgical procedure - including risks of anesthesia and postoperative complications might be something a little less cut and dry - if you are the one under the knife.
National Guideline Clearinghouse | Ultrasonography in pregnancy.
ACOG Practice Bulletin No. 101: Ultrasonograp... [Obstet Gynecol. 2009] - PubMed - NCBI
As for your second q, Im not here to teach you and this is not a superficial medical discussion, but I will hit the highlights anything that impacts maternal bleeding in significant quantities (hypovolemia/exsanguination) means the child has tops several minutes-the first thing compromised will be fetal/placental blood flow. We dont use the term "crash c-section", but an OB wont attempt to ligate or repair anything without at least a general, and possibly a vascular surgeon-these specialists are NOT a normal presence in the OB theater, and thats time the child wont have. OB's ARE trained in perimortem CS but thats not going to be done here.
The first thing to remember is we aren't getting the entire story-we dont know this patients history or risk factors, we know what a media source says-this alone makes it highly unlikely we have the full picture. As I stated earlier in the thread this is a high risk procedure, and this woman has had 2 prior CS's-so the uterine scarring and surgical adhesions are more likely to lead to complications. The ACA did very little to address tort and has made high risk specialties MORE defensive. This is the result. The other issue is so many vbacs lead to failure to progress, leading to increase risks of fetal anoxia, erbs palsy, etc. When you say things like "the infant would stand a good chance of being fine" without the data what you are saying is you'd like this to be the case, and hope its true. Some reading, but your best bet would be to admit you dont know.
Practice Guidelines: ACOG Updates Recommendations on Vaginal Birth After Previous Cesarean Delivery - American Family Physician
Ob Gyns Issue Less Restrictive VBAC Guidelines - ACOG
Vaginal Birth After Cesarean and Uterine Rupture Rates in Ca... : Obstetrics & Gynecology