Re: Elective Induction - something goes wrong
From: Anna Meenan, MD (annam@uic.edu)
Wed Jul 7 00:00:06 2004
Passports can be expedited on a same-day basis, if needed, or at least
overnight. Costs more $$$$$$, but I would leave that up to mom and
grandma and consider it "not my problem". Yeah, I'm heartless. What
else is new?
--
Anna Meenan, MD
Court dates can't be postponed in Egypt? They sure do it often enough
here.
l 2004, Elrod Glen Maj 3 MDG/SGOB wrote:
>
>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
