--
Richard Chudacoff, MD
You do ill if you praise, but worse if you censure,
what you do not understand.
<http://www.brainyquote.com/quotes/quotes/l/leonardoda126133.html> Leonardo
da Vinci
Life is pretty simple: You do some stuff. Most fails.
Some works. You do more of what works. If it works big,
others quickly copy it. Then you do something else.
The trick is the doing something else.
<http://www.brainyquote.com/quotes/quotes/l/leonardoda120925.html> Leonardo
da Vinci
_____
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Lynn D.
Montgomery, M.D.
Sent: Tuesday, March 16, 2004 1:13 PM
To: Multiple recipients of list OB-GYN-L
Subject: Re: Forceps/Vacuum
At a conference I actually chaired last week, Devoe stated essentially the
same thing. A pre-forceps/vacuum note should be written that includes your
estimated fetal weight, the fetal position (head orientation and station)
and an outline of the consent. He stated as an example a recent case he had
"participated in" where if the documentation had been included, the outcome
of the case would have been different.
Personally, I do the same as y'all. I obtain verbal informed consent, do
the procedure and document thoroughly after...
Lynn
Lynn D. Montgomery, M.D.
Maternal-Fetal Medicine, OB/GYN
Rocky Mountain Women's Health
2835 Fort Missoula Rd., Suite 303
Missoula, Montana, 59804
406-549-0978
fax 406-549-0987
e-mail: apgar10@montanadsl.net
-----Original Message-----
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
DoctorJoe@aol.com
Sent: Tuesday, March 16, 2004 11:10 AM
To: Multiple recipients of list OB-GYN-L
Subject: Re: Forceps/Vacuum
In a message dated 3/16/04 10:00:07, ainsron@sbcglobal.net writes:
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.
Ditto.
Joe P.
