This is in response to the post about JCAH and NACOG requiring anesthesia to
be immediately available for vbacs....
My husband is an anesthesiologist.  The previous post regarding this is
true.  NACOG has decided that a patient laboring after having a c/s is at
risk for uterine rupture, and that anesthesia should be immediately
available to perform a c/s.  JCAH has jumped on the bandwagon. His
interpretation (my husband's)is that the OR staff, or OB staff, and
pediatrician should also be immediately available. We live in a small town,
where there are about 500 deliveries/yr. Hospital administration is
demanding a contract that states that he(and the other anesthesiologists)
will be available to do this. It is not feasable for everyone to stop what
they are doing wait for a mother to give birth.  This would mean that
doctors would have to leave their offices and come to the OB/OR and wait.
The American Society of Anesthesiologists is fighting it, but I am not sure
what progress is being made.  I will keep this forum informed of any news.
Sharon Gollman, RN, BSN, IBCLC

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