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Re: LDR v. LDRPFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Thu Jul 22 20:43:14 2004
At Thu, 22 Jul 2004, Braun, R. Daniel wrote: > >.. > >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 >
--
LDRP's are great for those nice uncomplicated vaginal delieveries, now if I could
only predict with certainty which moms will have nice uncomplicated delieveries.
Take care, John
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