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Re: Forceps/VacuumFrom: Charlie Chambers (cchamber@gorge.net)Tue Mar 16 14:40:46 2004
I was trained to do the same. When I have the opportunity, I try to write a note including the above plus pelvimetry. I get a consent for a "trial of forceps". The only time that I get OR backup is for a rotation or what I anticipate to be "difficult" instrumental delivery. On Mar 16, 2004, at 11:13 AM, Lynn D. Montgomery, M.D. wrote:
> At a conference I actually chaired last week, Devoe stated essentially Charlie Chambers Hood River, OR cchamber@alumni.rice.edu "No matter where you go... there you are." Dr. Buckaroo Banzai ************************************************************************ --Apple-Mail-2-234302080 Content-Transfer-Encoding: quoted-printable Content-Type: text/enriched; charset=ISO-8859-1 I was trained to do the same. When I have the opportunity, I try to write a note including the above plus pelvimetry. I get a consent for a "trial of forceps". The only time that I get OR backup is for a rotation or what I anticipate to be "difficult" instrumental delivery. On Mar 16, 2004, at 11:13 AM, Lynn D. Montgomery, M.D. wrote: = <excerpt><fontfamily><param>Arial</param><color><param>0000,0000,FFFF</param><smaller><x-tad-smaller>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.</x-tad-smaller></smaller></color></fontfamily></excerpt><excerpt>
= <fontfamily><param>Arial</param><color><param>0000,0000,FFFF</param><smaller><x-tad-smaller>Personally, I do the same as y'all. I obtain verbal informed consent, do the procedure and document thoroughly after...</x-tad-smaller></smaller></color></fontfamily></excerpt><excerpt> = <fontfamily><param>Arial</param><color><param>0000,0000,FFFF</param><smaller><x-tad-smaller>Lynn</x-tad-smaller></smaller></color></fontfamily></excerpt><excerpt>
<fontfamily><param>Arial</param><smaller><x-tad-smaller>Lynn D. Montgomery, M.D.</x-tad-smaller></smaller></fontfamily></excerpt><excerpt> <fontfamily><param>Arial</param><smaller><x-tad-smaller>Maternal-Fetal Medicine, OB/GYN</x-tad-smaller></smaller></fontfamily></excerpt><excerpt> <fontfamily><param>Arial</param><smaller><x-tad-smaller>Rocky Mountain Women's Health</x-tad-smaller></smaller></fontfamily></excerpt><excerpt> <fontfamily><param>Arial</param><smaller><x-tad-smaller>2835 Fort Missoula Rd., Suite 303</x-tad-smaller></smaller></fontfamily></excerpt><excerpt> <fontfamily><param>Arial</param><smaller><x-tad-smaller>Missoula, Montana, 59804</x-tad-smaller></smaller></fontfamily></excerpt><excerpt> = <fontfamily><param>Arial</param><smaller><x-tad-smaller>406-549-0978</x-tad-smaller></smaller></fontfamily></excerpt><excerpt> <fontfamily><param>Arial</param><smaller><x-tad-smaller>fax 406-549-0987</x-tad-smaller></smaller></fontfamily></excerpt><excerpt> <fontfamily><param>Arial</param><smaller><x-tad-smaller>e-mail: = apgar10@montanadsl.net</x-tad-smaller></smaller></fontfamily></excerpt><excerpt> <smaller><x-tad-smaller>-----Original Message-----</x-tad-smaller></smaller></excerpt><excerpt> = <bold><smaller><x-tad-smaller>From:</x-tad-smaller></smaller></bold><smaller><x-tad-smaller> ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] </x-tad-smaller><bold><x-tad-smaller>On Behalf Of = </x-tad-smaller></bold><x-tad-smaller>DoctorJoe@aol.com</x-tad-smaller></smaller></excerpt><excerpt> = <bold><smaller><x-tad-smaller>Sent:</x-tad-smaller></smaller></bold><smaller><x-tad-smaller> Tuesday, March 16, 2004 11:10 AM</x-tad-smaller></smaller></excerpt><excerpt> = <bold><smaller><x-tad-smaller>To:</x-tad-smaller></smaller></bold><smaller><x-tad-smaller> Multiple recipients of list OB-GYN-L</x-tad-smaller></smaller></excerpt><excerpt> = <bold><smaller><x-tad-smaller>Subject:</x-tad-smaller></smaller></bold><smaller><x-tad-smaller> Re: Forceps/Vacuum</x-tad-smaller></smaller></excerpt><excerpt> <fontfamily><param>Times New Roman</param>In a message dated 3/16/04 10:00:07, ainsron@sbcglobal.net writes:</fontfamily> <fontfamily><param>Times New Roman</param>In my experience, the decision for instrumental delivery</fontfamily> <fontfamily><param>Times New Roman</param>occurs in the process of the delivery when I am already scrubbed in. To</fontfamily> <fontfamily><param>Times New Roman</param>break scrub to write a note would be a waste of time, especially if I'm</fontfamily> <fontfamily><param>Times New Roman</param>doing it because of the development of a non-reassuring FHR pattern and</fontfamily> <fontfamily><param>Times New Roman</param>feel that application of the vacuum can deliver the baby in a short</fontfamily> <fontfamily><param>Times New Roman</param>period of time. </fontfamily> <fontfamily><param>Times New Roman</param>Ditto.</fontfamily> <fontfamily><param>Times New Roman</param>Joe P.</fontfamily> = </excerpt>*************************************************************************
Charlie Chambers Hood River, OR "No matter where you go... there you are." Dr. Buckaroo Banzai ************************************************************************
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