Re: Elective Induction - something goes wrong

From: Elrod Glen Maj 3 MDG/SGOB (Glen.Elrod@ELMENDORF.af.mil)
Tue Jul 6 23:14:22 2004

OK here is a sob story. Mother is originally from Egypt. Uncle dies in February in Egypt. pts mother is here with my patient. Pts mother does not travel alone. Pts mother needs to go to Egypt in early August for a court date to settle her brother's estate. Pt needs to get passport for newborn for the baby to travel with them to Egypt. The birth certificates take at least 2 weeks here and that only leaves about a week and a half to get a birth certificate. Her cervix was mostly favorable and she is a multip, so we decided to go with it.

The worst part of this scenario for me is that this is my last call night at this duty station. If she has a complication, I won't be the one to follow up on it. Definitely a double edged sword.

I guess that sometimes, I just have a soft heart for these sob stories. I don't often give in, but I knew my case collecting partners wouldn't want any part of it, so I took it on.

Glen

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of annam@uic.edu Sent: Tuesday, July 06, 2004 8:06 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Elective Induction - something goes wrong

Just curious. What exactly are the "social reasons" that indicate the induction? I don't induce anyone before 41 weeks without a compelling medical reason. As an FP, I have to get a consult from an OB to induce, and if I asked for a consult at 38.5 weeks, any of my usual consultants would probably ask me just when exactly had I lost my marbles. What's wrong with just saying "No"?

Anna Meenan, MD

At Wed, 7 Jul 2004, Elrod Glen Maj 3 MDG/SGOB wrote: >
>I know what full term is, but to electively do something without a clear
>indication isn't approved or sanctioned by any organization at 38 wks. I
>know in my gut that this is indicated for her own social reasons, but I
know >deep down its not at all indicated.
>
>glen
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
>RModugno@aol.com
>Sent: Tuesday, July 06, 2004 5:53 PM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: Elective Induction - something goes wrong
>
>In a message dated 7/6/2004 7:21:44 PM Eastern Daylight Time,
>eramirezt@coqui.net writes:
>
>>Multiparous patient - 38 weeks and 3 days - elective induction with
>>prostaglandins, or amniotomy and Pit- something goes wrong -
>>hyperstimulation - cord accident - any event culminating in a C/S or a
>>mishap with the baby -SD- mild RDS, etc..good dates - early TVS (at +/-9
>>weeks) - correlating within 5 days of LMP - what are your odds in a
>>trial?
>
>Glen, are you just hypothesizing? Term is 37 completed weeks. What is there
>to sweat/fret about?
>
>Robert Modugno MD MBA FACOG
>
>Marietta, GA
>
>http://www.novaobgyn.yourmd.com

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