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https://ciane.net/id=1640

Criado em : 01 Feb 2006
Alterado em : 01 Dec 2007

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Nota bibliográfica (sem autor) :

Point/Counterpoint: II. The VBAC "Con" game. OGS, 53, p.662

Autores :

Phelan

Ano de publicação :

1998

URL(s) :

Résumé (français)  :

Abstract (English)  :

Editorial/Debate with Bruce Flamm. I do not advocate a policy of "once a CS, always a CS" rather that if a VBAC is to be performed, the patient should be better informed. We must understand that fetal brain injury can occur fairly quickly in cases of uterine rupture. Advocates "crash CS drills". The second issue is what to tell the patient of the potential risk of fetal brain damage. According to Dr. Flamm, the use of the phrase "brain damage" would have a chilling effect on the VBAC rate and thwart any efforts to reduce the overall CS rate. Ultimately, the patient needs to be fully informed because it is she and her baby that would undergo the risks. Dr. Flamm may be right about the balanced consent form should not include the phrase about death or permanent brain injury. I would also agree very few people, except managed care organizations, would put a bullet in a 100 chamber revolver, spin the chamber, place the gun against the child’s head and pull the trigger.

Sumário (português)  :

Resumen (español)  :

Comentários :

Fiche importée de http://www.worldserver.com/turk/birthing/rrvbac2000-4.html avec l’aide de Ken Turkowski, septembre 2005

Argument (français) :

Argument (English):

Argumento (português):

Argumento (español):

Palavras-chaves :

➡ parto vaginal após cesariana ; cesariana

Autor da esta ficha :

Ken Turkowski — 01 Feb 2006