Dr. Elliott or Dr. Lashgari for C-Section at VHC?

[Anonymous]

Anonymous wrote:I ask this only half-joking: Has anyone been delivered by Lashgari and NOT received a c-section. I'm sure there must be a handful of women out there who successfully labored with Lashgari, but yikes. I'd love to know what her c-section rate is.

30% -- about average for this area.
http://www.vhi.org/ob_report_results_phys.asp

[Anonymous]

OP, if you have a choice I would choose Dr. Elliott.

I have been with the practice for about 7 years and I believe Dr. Lashgari was a fairly new Dr. when I first saw her. With baby #1 she really pushed for a c-sec when the baby measured large. I also found her bedside manner to be a little insensitive and very closed-minded to options. I saw while in labor throughout an entire day and she pretty much assumed I would end up wiht a c-sec. I didn't deliver for over 28 hours and was so relieved that she wasn't on call that night because I know it would have turned out differently. I deliivered at 730am the next morning vag a 10 baby. Her and Dr. Elliott came running into the room literally when the other Dr (on call from another practice) pulled our DD out and held her up. The next day when she saw me in recovery she made the comment that if she had been on call that I would have had a c-sec. My water had been broken all that time as well, but since baby and I were doing well the other dr. let me labor.

Fast forward a few years later with baby #2 and Dr. Lashgari seemed to have opened her opinions a little more and while she didn't push quite as hard for a c-sec this time she did still mention it a lot and say that she will have a c-sec when she had kids. I had some slight urine incontinence issues that I was told was more likely due to carry such a large baby than actual delivery, but this was when she threw in the "I will have a c-sec".

I was diagnosed with carrying a large baby again with #2 and when I told her this time I wanted to go without the epi this time she said she's never seen anyone go without an epi while on pit and basically she doesn't think anyone can do that particualy with a baby the size of mine. Well, I delivered vag after 6.5hrs on pit without an epi. This time Dr. Elliott delivered and was very encouraging at the end.

Just my experience, but I would go with Elliot due to his experience and nature.

[Anonymous]

Anonymous wrote:
30% -- about average for this area.
http://www.vhi.org/ob_report_results_phys.asp

What a great site! I never even knew about that. Thanks for posting.

[Anonymous]

I delivered vaginally with Dr. Lashgari (Dr. Elliott is my primary doctor at their practice but I saw both during my pregnancy) and she did everything she could to STOP me from having to deliver by c-section. DD had a bowel movement in utero so there was a time limit they would let me push before they went to c section because of the risk of infection. She was fantastic during the whole thing and during my follow up while I was in the hospital. I ended up needing vacuum assist (and then a third degree tear) and I healed up beautifully and very quickly.

[Anonymous]

Anonymous wrote:

Anonymous wrote:
30% -- about average for this area.
http://www.vhi.org/ob_report_results_phys.asp

What a great site! I never even knew about that. Thanks for posting.

I'm not sure how great the site is. Unless I'm reading the methodology explanation incorrectly, these statistics are all based on procedures from 2006. That's a pretty narrow snapshot taken nearly a half decade ago. Given laws of averages, I wouldn't want to set too much store by this report. A doc with a remarkably low c-section rate in 2006 may have just had a run of uncomplicated pregnancies, while a doc with a seemingly high level might actually be more in line with national averages if you looked at data over 5 years or 10.

I don't know Dr. Lashgari, so I can't say one way or the other where she falls. I just wanted to point that I think the narrow temporal focus and stale data on which this site relies may not offer particularly meaningful insights into the management and care of these physicians.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:
30% -- about average for this area.
http://www.vhi.org/ob_report_results_phys.asp

What a great site! I never even knew about that. Thanks for posting.

I'm not sure how great the site is. Unless I'm reading the methodology explanation incorrectly, these statistics are all based on procedures from 2006. That's a pretty narrow snapshot taken nearly a half decade ago. Given laws of averages, I wouldn't want to set too much store by this report. A doc with a remarkably low c-section rate in 2006 may have just had a run of uncomplicated pregnancies, while a doc with a seemingly high level might actually be more in line with national averages if you looked at data over 5 years or 10.

I don't know Dr. Lashgari, so I can't say one way or the other where she falls. I just wanted to point that I think the narrow temporal focus and stale data on which this site relies may not offer particularly meaningful insights into the management and care of these physicians.

I'd venture to suggest that anecdotal evidence on an anonymous forum is an even worse source of data.

[Anonymous]

Anonymous wrote:I ask this only half-joking: Has anyone been delivered by Lashgari and NOT received a c-section. I'm sure there must be a handful of women out there who successfully labored with Lashgari, but yikes. I'd love to know what her c-section rate is.

Me! 1st DC was a c-section b/c she was breech. 2nd was a VBAC and Lashgari was totally supportive and helped/coached me through the whole process.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:
30% -- about average for this area.
http://www.vhi.org/ob_report_results_phys.asp

What a great site! I never even knew about that. Thanks for posting.

I'm not sure how great the site is. Unless I'm reading the methodology explanation incorrectly, these statistics are all based on procedures from 2006. That's a pretty narrow snapshot taken nearly a half decade ago. Given laws of averages, I wouldn't want to set too much store by this report. A doc with a remarkably low c-section rate in 2006 may have just had a run of uncomplicated pregnancies, while a doc with a seemingly high level might actually be more in line with national averages if you looked at data over 5 years or 10.

I don't know Dr. Lashgari, so I can't say one way or the other where she falls. I just wanted to point that I think the narrow temporal focus and stale data on which this site relies may not offer particularly meaningful insights into the management and care of these physicians.

I'd venture to suggest that anecdotal evidence on an anonymous forum is an even worse source of data.

I'd venture to suggest that they're both pretty awful sources of data. If I flip a coin 10 times and post the results to the web as some official study, the fact that the coin may have turned up heads 8 times does not prove that the odds of getting heads is 80%. That's what the PP's point was: The survey covers too narrow a timeframe to develop any reliable findings.

[Anonymous]

Hear hear! I delivered vaginally with Dr. Lashgari. I have to say she is an amazing doctor. I had a perfect pregnancy with my first (delivered vaginally) and with my second, I went into laobr at 24 weeks due to an open cervix. I went stragiht to her office and then of course was admitted. I had to be transferred to Georgetown because of how early my contractions were. She stayed with me until the ambulance came, rode with me in the ambulance, updated all the doctors when we got to georgetown and then called every day until I had my baby at 26 weeks. I'm pretty sure not every doctor would go over and above for her patients like she did.

I just found out I was surpirsingly pregnant with my third and the first thing Dr. Lashgari told me was the goal was to have a health baby delivered VAGINALLY. I think at the end of the day, if you have a problem with what your doctor is telling you, speak up. They will listen, especially Dr. Lashgari.

[Anonymous]

I have three friends who delivered vaginally with Dr. Lashgari within the past two years and all were very happy with her care. I delivered via planned c-section and both Dr. L and Dr. E where there. I have a great looking scar. I think either would be excellent choices.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I ask this only half-joking: Has anyone been delivered by Lashgari and NOT received a c-section. I'm sure there must be a handful of women out there who successfully labored with Lashgari, but yikes. I'd love to know what her c-section rate is.

i too would love to hear from someone who delivered vaginally with Lashgari, just to see if there is anyone out there.

Then maybe you should post under a new subject that doesn't specifically ask about c-section experience with Lashgari/Elliott.

Lashgari was VERY supportive of a vaginal delivery with my twins, which is not the position of many OBs in the area. That alone made me feel like she wasn't as c-section trigger happy as everyone on here makes her seem. Unfortunately, I needed an emergency c-section, which Elliott performed flawlessly.

[khand]

I delivered vaginally with Elliott. Lashgari was with me all day as I labored naturally but I was transitioned to Elliott since he was on call that night. There was no push to do a c-section even though it had been awhile. I had a doula too. I made my desires for a natural, vaginal birth VERY clear from the beginning of my time at their practiced. Ended up with an epidural after 24 hours of labor and stalling due to exhaustion. Good luck.