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Re: LDR v. LDRPFrom: Braun, R. Daniel (dean@thehuffpeople.net)Thu Jul 22 12:28:39 2004
.. I have pracitced in places with both systems. I much prefer the LDR. With the LDRP, the site of delivery kept moving around the L&D floor throughout the week. As a patient delivered and remained in the room, usually for 2 or 3 days, the new deliveries went further and further down the hallway. Eventually, at the end of the week, we could have a situation where two patients were delivering simultaneously, but they were a full city block apart. One could be put in the situation where one would be running back and forth from one end of L&D to the other, a considerable distance, if one had two patients in labor at the same time. With the LDR, all the deliveries are concentrated in a relatively small area. After all, the majority of the time is spent POST partum, so there are much fewer labor beds than post partum beds, and therefore the delivery area can be much more contained. If one has two patients in labor, one can easily go back and forth between the rooms, which are relatively close to each other. Further, the OR can be located close to the L&D area. No more sprints from one end of L&D to the other, again a sprint that is sometimes a city block long, to get the patient to the OR in a timely fashion. Another advantage of LDR is that the patient goes to a fresh, clean bed and room after recovery. She does not have to remain in a dirty bed or wait for housekeeping to clean up the bed and room. The post partum room and bed is already cleaned before she is rolled into it. I suppose that in a very small unit, LDRP is acceptable. But in any unit that does a lot of deliveries, LDR is much preferable, in my opinion. - - - - Dean Huffman <dean@thehuffpeople.net> wrote:
> ATTACHMENT part TEXT message/rfc822 Date: Tue, 20 Jul 2004 14:41:21 -0500 From: "Lynn D. Montgomery, M.D." To: Multiple recipients of list OB-GYN-L 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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