Re: IUFD Management
From: Steve & Eryl Raymond (eryl@intekom.co.za)
Fri Jun 4 14:05:11 2004
In case there has been a misunderstanding I didn't mean to say that I
would make anyone wait for six weeks if they want to be delivered
sooner. What I am saying is that there is no medical indication to
hasten induction before six weeks if they want to wait that long. At
six weeks it is time to do something if not already delivered.
Steve
Seele, Mona wrote:
> As a person with personal experience of IUFD at 28wks, I have to say that 6
> weeks is too long. When this happened to me, my doctor gave it 2 weeks and
> then induced. The 2 weeks were a mixed bag - on the one hand it gave me
> time to come to terms with the IUFD, on the other, I was far enough along
> that people knew I was pregnant and continually came up to me as asked "when
> is your baby due" or "is it a boy or a girl"? Emotionally, by the time 2
> weeks was up I was entirely ready to get it over with.
>
> -----Original Message-----
> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of
> eramirezt@coqui.net
> Sent: Tuesday, June 01, 2004 7:46 PM
> To: Multiple recipients of list OB-GYN-L
> Subject: Re: IUFD Management
>
> Agree - I saw today the patient I saw with an IUFD -- later delivered
> without complications - she was very grateful .... time is the 4th
> dimension...
>
> It has been my experience with MY patients that a 2-3 days is enough --
> ie depending on gestational age --
>
>>>At Mon, 31 May 2004, Steve & Eryl Raymond wrote:
>>
>>The attitude that an IUD should be dealt with is a good example of the
>>bad paternalistic attitudes that were so rightly criticised in the
>>70's an 80's by women's rights groups. It is absolutely forbidden in
>>my department to do anything with an IUFD until all the details have
>>been discussed with the patient and in particular emphasising the need
>>to think about the possibility that one needs to have time to come to
>>terms with the loss of the baby. I usually encourage them to go home
>>for a week and return to discuss it further, and I also tell them that
>>I do not want to do anything based on medical need for 6 weeks. Any
>>other way of handling this is unfair and fails the patient - we
>>should be the dispassionate professional giving the best advice and to
>>fail to tell them about the grieving process is inadequate.
>>Steve
>>
>>Kaycnm@aol.com wrote:
>>
>>>In a message dated 5/30/2004 10:16:25 PM Eastern Daylight Time,
>>>RModugno@aol.com writes:
>>>
>>> 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 try very hard to advocate for this. Occasionally I am overruled by my
>>>back-up, occasionally by the family themselves. But I totally agree
>>>that an uncomplicated IUFD should never be presented as an emergency.
>>>When this happens, the I have the overwhelming feeling that the process
>>>sort of "robs" the woman; pulls the offending fetus out and disposes of
>>>it quickly so everyone can "get it over with." It denies a valuable
>>>process for the woman and her family.
>>>
>>>Kay Johnson, CNM
>>>Atlanta, GA
>>>*************************************************
>>>Life is too important to be taken seriously.
>>>*************************************************
>>>Oscar Wilde
>>>*************************************************
>>
>>>*************************************************
>
> --
> "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)
>
> -----------------------------------------
> ____________________________________________________________________________________
> -----------------------------------------
> ****CONFIDENTIALITY NOTICE****
> -----------------------------------------
> This e-mail is the property of The Methodist Hospital and/or its relevant affiliates and may contain confidential and privileged material for the sole use of the intended recipient(s). Any review, use, distribution or disclosure by others is strictly prohibited. If you are not the intended recipient(or authorized to receive for the recipient), please contact the sender and delete all copies of the message. Thank you.
>
