Re: LDR v. LDRP

From: Arthur Curtis (AWCurtis@massmed.org)
Wed Jul 21 22:05:23 2004


MessageWorcester, Mass. has two hospitals with OB units. Several years ago the larger hospital with about 4,000+ deliveries, U.Mass residency, etc, was planning a major modernization of their OB unit, and after much study converted to an all LDRP unit.

About the same time the smaller hospital with about 2,000- deliveries and minimal resident coverage, was planning a move from its antiquated facility on the hill to a new, large, modern to be built hospital and medical office complex downtown. I was on the staff of the smaller hospital. The new hospital was planned for all LDRP rooms in three 'pods' on the Ob floor.

Soon after the university hospital opened its LDRPs, the nurses and doctors hated the setup. Too widely scattered, doctors having to be at opposite ends of the unit at the same time, very confusing, deliveries at 3am next to a trying-to-sleep post partum mother, cell phones required to coordinate everything. They then converted back to LDRs and post partum rooms.

Meanwhile our smaller hospital was being built with all large LDRPs on all three 'pods'. However, both the doctors and the nurses hated the idea of LDRPs and strongly lobbied the hospital to change to LDRs. An outside consultant was hired and agreed. The result was 11 LDRs, CSection rooms, etc are now in the first 'pod' and the post partum rooms are in the second and third 'pods', which are very nice, and very large, almost living room like, as they were all built for LDRPs. The layout works very well, and all the patients and staff are happy.

--
Arthur Curtis FACOG (now retired)
Kissimmee, FL

> ----- Original Message ----- From: Lynn D. Montgomery, M.D. To: Multiple recipients of list OB-GYN-L Sent: Tuesday, July 20, 2004 3:41 PM Subject: LDR v. LDRP

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 regarding the two options. Further, if anybody has any resources for available studies looking at the differences, I would greatly appreciate it - I did a medline and came up empty. Lynn

Lynn D. Montgomery, M.D. Maternal-Fetal Medicine, OB/GYN Rocky Mountain Women's Health 2835 Fort Missoula Rd., Suite 303 Missoula, Montana, 59804 406-549-0978 fax 406-549-0987 e-mail: apgar10@montanadsl.net





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