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RE: At what point in pregnancy does a WOMAN'S personhoo... - 4/6/2013 7:14:13 AM   
farglebargle


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If your HOSPITAL'S Labor & Delivery floor doesn't have at least a pair of full-on surgical suites on the floor ready to go for an emergency at any time, you might want to think twice about that hospital's competency to assist you. Any issues with VBAC aren't founded in the literature at this point in the 21st century. Maybe back when shaving and strapping them to the table was the status-quo, but not anymore.

< Message edited by farglebargle -- 4/6/2013 7:15:10 AM >


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RE: At what point in pregnancy does a WOMAN'S personhoo... - 4/6/2013 8:02:38 AM   
tazzygirl


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In most published studies, 60-80%–roughly 3 to 4 out of 5–women who have previously undergone cesarean birth can successfully give birth vaginally. After reading the following information and discussing the possibility with your health care provider, you should be able to make an informed decision about the option of VBAC.

The greatest concern for women who have had a previous cesarean is the risk of uterine rupture during a vaginal birth. According to the American College of Obstetricians and Gynecologists (ACOG), if you had a previous cesarean with a low transverse incision, the risk of uterine rupture in a vaginal delivery is .2 to 1.5%, which is approximately 1 chance in 5001.

What criteria must I meet to be considered for VBAC?

No more than 2 low transverse cesarean deliveries.
No additional uterine scars, anomalies or previous ruptures.
Your health care provider should be prepared to monitor labor and perform or refer for a cesarean if necessary .
Your birth location should have personnel available on weekends and evenings in case a cesarean is necessary.

http://americanpregnancy.org/labornbirth/vbac.html

The suites can be available, fully stocked and ready to go. If the personnel isnt there to perform the surgery, then its not gonna happen.

I cant say that was the case here. I can say that at the risk of injury to a viable infant ready to be given birth, ignoring medical advice and putting that infant at risk gives the state the authority to intervene as it would post delivery for the best interests of the child.

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RE: At what point in pregnancy does a WOMAN'S personhoo... - 4/6/2013 8:13:34 AM   
tazzygirl


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Well well, this puts a spin on things. The woman apparently had a vertical incision. Up and down, instead of across the lower part of her abdomen. This type of incision makes it more difficult to do a VBAC.

Ms. Pemberton delivered a prior baby in 1995 by caesarean section. Most caesarian sections are performed using a horizontal incision. Ms. Pemberton's 1995 caesarian, however, was performed using a vertical incision. Moreover, the vertical incision extended well beyond a traditional low vertical incision up into the thickened myometrium. The nature of this caesarean presented a greater risk of uterine rupture during any subsequent vaginal delivery than would be the case with a more typical caesarean section.

When she became pregnant again in 1996, Ms. Pemberton attempted to find a physician who would allow her to deliver vaginally. She was unable to find any physician who would do so. Every physician she contacted advised her that, because of the type of caesarean section she had undergone previously, vaginal delivery was not an acceptable option.

Undeterred, Ms. Pemberton made arrangements to deliver her baby at home, attended by a midwife, without any physician attending or standing by and without any backup arrangement with a hospital. On January 13, 1996, after more than a full day of labor, Ms. Pemberton determined she needed an intravenous infusion of fluids; she had been unable to hold down food or liquids and was becoming dehydrated. She went with her husband, plaintiff Kent Pemberton, to the emergency room of defendant Tallahassee Memorial Regional Medical Center ("the hospital"), where she requested an IV.


http://www.leagle.com/xmlResult.aspx?xmldoc=1999131366FSupp2d1247_11197.xml&docbase=CSLWAR2-1986-2006

I knew there was more to this story.

_____________________________

Telling me to take Midol wont help your butthurt.
RIP, my demon-child 5-16-11
Duchess of Dissent 1
Dont judge me because I sin differently than you.
If you want it sugar coated, dont ask me what i think! It would violate TOS.

(in reply to tazzygirl)
Profile   Post #: 23
RE: At what point in pregnancy does a WOMAN'S personhoo... - 4/6/2013 9:09:51 AM   
DesideriScuri


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Leave it to you, tazzy, to ferret it out. Great job!

When my ex and I were expecting twins, we had 2 hospitals chosen. One was for a "normal" vaginal birth and the other was for backup in case there were heightened risks that required staff and suites the first one didn't have. Had she gone into labor and everything was going fine at the first hospital and then something changed, she'd have been taken post haste to the backup hospital. If things took a turn prior to labor - and they did - then we skipped the first and went directly to the second. As it turned out, she had to undergo an emergency C-section and our first choice (closest to home and a wonderful maternity ward [first child was born there]) wasn't set up for that. The backup hospital took very good care of us and the twins. No complaints other than it was a bit further away than the first choice.



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(in reply to tazzygirl)
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RE: At what point in pregnancy does a WOMAN'S personhoo... - 4/6/2013 9:16:31 AM   
tazzygirl


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This woman decided she was going to have a vaginal delivery and no one was going to tell her differently. The mid-wife was nuts.

Twins... wow... I would always recommend a hospital with the staff for any complications.

_____________________________

Telling me to take Midol wont help your butthurt.
RIP, my demon-child 5-16-11
Duchess of Dissent 1
Dont judge me because I sin differently than you.
If you want it sugar coated, dont ask me what i think! It would violate TOS.

(in reply to DesideriScuri)
Profile   Post #: 25
RE: At what point in pregnancy does a WOMAN'S personhoo... - 4/6/2013 11:57:35 AM   
fucktoyprincess


Posts: 2337
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quote:

ORIGINAL: thishereboi


quote:

ORIGINAL: fucktoyprincess

According to conservatives BEFORE she even conceives



And which conservatives would that be princess? All of them? Some of them? And did they send you a notice telling you how they think or did you read their minds? (if it's the latter, can you come up with winning lottery numbers also cause that could be helpful) Inquiring minds want to know.


I would point out that there are a whole shit load of liberals who are against abortion, but I am not sure you could handle that, so maybe I shouldn't.


Well, truth be told, I have won the lottery.....

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RE: At what point in pregnancy does a WOMAN'S personhoo... - 4/6/2013 3:31:43 PM   
Aylee


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quote:

ORIGINAL: tazzygirl

On January 13, 1996, after more than a full day of labor, Ms. Pemberton determined she needed an intravenous infusion of fluids; she had been unable to hold down food or liquids and was becoming dehydrated. She went with her husband, plaintiff Kent Pemberton, to the emergency room of defendant Tallahassee Memorial Regional Medical Center ("the hospital"), where she requested an IV.

http://www.leagle.com/xmlResult.aspx?xmldoc=1999131366FSupp2d1247_11197.xml&docbase=CSLWAR2-1986-2006

I knew there was more to this story.


Wait a minute. . . I thought that the fuzz that they tied her up and took her to the hospital?


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I don’t always wgah’nagl fhtagn. But when I do, I ph’nglui mglw’nafh R’lyeh.

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Profile   Post #: 27
RE: At what point in pregnancy does a WOMAN'S personhoo... - 4/6/2013 3:44:50 PM   
tazzygirl


Posts: 37833
Joined: 10/12/2007
Status: offline
They did. She went to the hospital for IV fluids. When they refused because she declined a section, she left the hospital AMA. At that time, the doctors contacted a judge, who issued the order to collect her from the home.

_____________________________

Telling me to take Midol wont help your butthurt.
RIP, my demon-child 5-16-11
Duchess of Dissent 1
Dont judge me because I sin differently than you.
If you want it sugar coated, dont ask me what i think! It would violate TOS.

(in reply to Aylee)
Profile   Post #: 28
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