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Re: IUFD Management From: Efrain Ramirez (eramirezt@coqui.net) Sun May 30 22:17:33 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: hemant damle: "Re: IUFD Management Bharati regimen" Previous message: RModugno@aol.com: "IUFD Management" In reply to: RModugno@aol.com: "IUFD Management" Next in thread: Joanne Bulley, MD: "Re: IUFD Management" Same as yours - I put 2-3 Laminarias in the office and send the patient home - - a little time is what everyone needs... BTW - had one IUFD 23-24 weeks 2 days ago - I like Prostin 20 - and we don't have Cytotec in or near the hospital anyway ---- >At Sun, 30 May 2004, RModugno@aol.com wrote: > >Recently managed a patient for a colleague - was on call and he was out of >town. Patient with an IUFD at 28 weeks diagnosed by his CNM. Immediately >brought into the hospital for induction of labor. Given cytotec over 24 hours( 200 >to 400 micrograms q4h without delivery). Patient and husband getting more and >more upset about not delivering quickly.Then subsequently delivers in about >6 hours after one prostin e2 20mg suppository. >My thoughts: >Why the"rush" to immediately bring the patient into the hospital? These >folks were given no time to let this tragedy sink in, to express their grief to >family and friends, placed in an unfamiliar environment with strangers, with >the expectations of "rapid delivery". >In the so-called "bad old days", we allowed patients to go home, gather >their thoughts, grieve with family and friends and then bring them in to the >hospital to induce labor. >I think this case is a symptom of our Mc Donald's Drive -Thru society, where >people expect things to happen immediately, if not, some thing is "wrong", >and they get upset, and not infrequently, it is the health care provider who is > "blamed " for this. >Any thoughts? >Robert Modugno MD MBA FACOG >Marietta, GA >http://www.novaobgyn.yourmd.com -- "The opposite of a correct statement is a false statement. But the opposite of a profound truth may well be another profound truth." Niels Bohr (1885 - 1962) Next message: hemant damle: "Re: IUFD Management Bharati regimen" Previous message: RModugno@aol.com: "IUFD Management" In reply to: RModugno@aol.com: "IUFD Management" Next in thread: Joanne Bulley, MD: "Re: IUFD Management"

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