Hello Lynette, unfortunately I have seen a lot of the same type of thing in the hospital area where I WAS working until recently.  One ob. frequently told primips their baby would not fit and recommended elective CS without even trial of labour, which sadly they went along with like lambs to the slaughter.  By the time we had them in hospital pre-op it was too late to change their minds - they truly believed the ob. MUST be right and they would be risking their baby's safety to try labour.  I tried once and the ob reported me to management, and threatened to report me to the Nurses Board and ACMI...  It's tragic.  The women just don't understand the long term consequences of C/S and are far from "informed" of their choices.  It's sooo difficult.  You can only do your best to be an advocate for the women and then it's up to them.  Best wishes, Lois  
----- Original Message -----
Sent: Friday, October 05, 2001 11:41 AM
Subject: cat scan pelvimetry

I have noticed recently an increase in the use of cat scans to assess pelvic capacity for birthing, generally resulting in the suggestion of a cesarean section on the grounds of cpd, even in women with a history of a previous uncomplicated vaginal birth.
I was of the understanding that pelvimetry was of limited clinical use because of the amazing capacity the pelvis and the foetal head have for accommodating the birth process.
I am interested to find out if this is something occurring more commonly now, or if we just happen to have a creative obstetrician in our area. I'd also like to know how the cost is justified.
Working in midwifery never ceases to amaze me.
Thanks. Lyn.

 

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