Re: Elective Induction - more questions..

From: Efrain Ramirez (eramirezt@coqui.net)
Fri Jul 9 21:25:52 2004


When I started -(on 7/7/77 -Thursday- private practice) induction was a "term" - practiced only for true medical (maternal/fetal) indications - social ones were extremely rare - I have accepted over the years the practice of elective induction because good results can be achieved if adequate patient selection is done - and new drugs are around - prostaglandins and Cytotec ( unfortunately the last one is not available in our institution because of a lawsuit) with the skyrocketing C/S rate - patient selection has become a third degree factor -

>At Fri, 09 Jul 2004, Steve & Eryl Raymond wrote:
>
>Seems no-one is game to answer Efrain and commit themselves, because
>like many things in obstetrics the question "how long is a piece of
>string" is a common problem. You said "IMHO - if a multiparous
>patient needs more than 12 hours for the whole process of elective
>induction - patient selection was borderline.." and I know that if I
>am looking after someone who is not delivered before bed time, I feel
>I made the wrong decision. For me that means I have second thoughts
>by the 16th hour. Of course, by then it's too late for that!
>
>Other opinions?
>
>Steve Raymond
>
>Efrain Ramirez wrote:
>
>> 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?
>>

--
"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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