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30 Something Baby Doc

Monday, November 14, 2005

C-Section Refusal


You are the doctor/obstetrician. You're caring for a pregnant patient in labor then suddenly the baby's heart rate begins to drop and doesn't return to normal. The patient's cervix is not dilated enough for a vaginal delivery, therefore you inform her that she will need a C-section to save her baby's life. The patient refuses and says "A C-section is very dangerous for me, I could end up with a horrible scar, lose my womb or even bleed to death. I won't take that risk, I don't care if my baby dies, I can always have another."

As her doctor, what would you do?

I had a patient similar to this last week . There were times when the baby's heart rate would drop, but fortunately (for myself and the baby) returned to normal after a minute. The patient developed arrest labor (her cervix would no longer dilate secondary to the large size of the baby) and she agreed to a C-section. The baby did well

# posted by tommy @ 5:39 AM
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