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Re: Forceps/VacuumFrom: Braun, R. Daniel (rbraun@iupui.edu)Tue Mar 16 09:31:07 2004
Same as you. Dan "Sound is like water. If you drill one hole in the wall the sound will leak right through." - JAY BRAUN, a band member by love, a soundproofer by necessity. -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Dr. Ainsworth Sent: Tuesday, March 16, 2004 11:00 AM To: Multiple recipients of list OB-GYN-L Subject: Forceps/Vacuum I've read the suggestion that anytime one applies forceps or vacuum, he should have written a preop note and called in the OR crew in case he needs to move directly to Cesarean section and always to have the pediatrician present. Personally,I've never made a point of writing a note beforehand, I always put the indications and discussion with the patient in my delivery note both written and dictated. Neither have I routinely called in the OR crew to standby when I'm preparing for vacuum or forceps. I do tell the patient that if this procedure does not proceed smoothly, we may need to move to the OR and deliver by cesarean section. In my experience, the decision for instrumental delivery occurs in the process of the delivery when I am already scrubbed in. To break scrub to write a note would be a waste of time, especially if I'm doing it because of the development of a non-reassuring FHR pattern and feel that application of the vacuum can deliver the baby in a short period of time. What do others do?
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