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Re: LDR v. LDRP From: Garry E. Siegel, M.D. (garrys@mindspring.com) Tue Jul 20 21:05:46 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Braun, R. Daniel: "Re: LDR v. LDRP" Previous message: Guy Venezia: "Re: HSV titers" In reply to: RModugno@aol.com: "Re: LDR v. LDRP" Next in thread: Barborza@aol.com: "Re: LDR v. LDRP" FWIW, LDRPs seem inefficient, but perhaps they would work well in smaller units. By inefficient, I mean that resources for deliveries (i.e. an LDRP) would be tied up for 2 days, but the resources were only needed for the delivery. I have no personal experience, so I'm not sure why I felt compelled to comment :). Lights in the ceiling--we have them at Northside, and you really can't get them angled correctly to go up into the vagina for sidewall tears, etc. The lights to which I refer are flush in the ceiling, with adjustable aim. I have seen hidden, ceiling mounted lights a la OR lights that magically come out, and can be moved by hand like an OR spotlight. Those seem good to me. North Fulton, the smaller hospital at which I practice, has bright, rolling lights on stands--they can be raised or lowered, moved, and frankly aimed very nicely for deep vaginal work. If I have a 4th degree or sidewall, I get 2--one per side--and it sure is nice to see well. Garry At Tue, 20 Jul 2004, RModugno@aol.com wrote: > >In a message dated 7/20/2004 3:41:46 PM Eastern Daylight Time, "Lynn D. Montgomery, M.D." <apgar10@montanadsl.net> writes: > >>Listers, >>I need your help here.  We are having the perennial argument about LDR's >>versus LDRP's.  Could y'all supply your experiences and opinions > >Lynn, I deliver at Northside Hospital and ( together with Garry Siegel on this list)I am on the Perinatal Committee which is responsible for overseeing the running of L&D.The hospital does 17,000 deliveries per annum - we have 36 LDRs. We are experiencing severe bottlenecking in L&D with people using the LDRs as LDRPs because postpartum is full. Our problem is multifactorial - too many social inductions, rising CSection rates and not enough postpartum beds. > >I visited University Hospital in Augusta recently and they had LDRPs which they are now using as LDRrs because of a bottlenecking problem. > >It probably depends on the hospital volume - but what my advice would be - go with the LDRs and make sure you have enough postpartum beds to deal with the future of American Obstetrics - elective inductions and elective CSections. > >My 2 cents > >Robert Modugno MD MBA FACOG >Marietta, Ga >http://www.novaobgyn.yourmd.com -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Braun, R. Daniel: "Re: LDR v. LDRP" Previous message: Guy Venezia: "Re: HSV titers" In reply to: RModugno@aol.com: "Re: LDR v. LDRP" Next in thread: Barborza@aol.com: "Re: LDR v. LDRP"

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