Re: Elective Induction - more questions..

From: Efrain Ramirez (eramirezt@coqui.net)
Wed Jul 7 21:06:20 2004

I do not know if this post came through - but - what's your timetable for a multiparous patient - if any- for the whole process of an ELECTIVE induction - is it ok to go more than 12-24 hours ? - did you make the right choice if it goes that far?

> At Wed, 7 Jul 2004, Len2976@aol.com wrote:
>
>The IOL rate in my area is also high. I am in a semi-rural area of Florida
>where the patients start asking about IOL at 36 weeks. I personally hate
>inductions and will rarely do them for non-medical reasons prior to 39 weeks.
>
>However I am in a practice with one obstetrician and 2 other CNMs who are
>much more liberal than I am about inducing patients. In one way it is
>understandable--patients here who are tired of pregnancy have been known to transfer to
>another MD just to get an IOL at 37-38 weeks (for example for "PTL"--UCs with
>no cervical change) or even a repeat C/S at 37 weeks for the same reason or
>for "maternal fatigue."
>
>The most I can do is insist that no IOL is scheduled the day I am on for
>non-medical reasons prior to 39 weeks--especially if the cervix is unfavorable.
>As a result of this, I have the fewest of deliveries for the three of us--and
>also the lowest C/S rate.
>
>Lenora McCall, CNM

--
"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)



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