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Re: 'Non Reassuring Fetal Status' vs. 'Fetal Intolerance to labor' any preference in their use? From: art fougner, md (evsono@pipeline.com) Tue Oct 12 13:33:42 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Len2976@aol.com: "Re: Gen: Florida 3 strikes amendment" Previous message: D. Ashley Hill: "Gen: Florida 3 strikes amendment" "Unstable Obstetrical Angina"? art At Tue, 12 Oct 2004, ainsron wrote: > >Over the past several years, risk managers have instructed us to use >descriptive terms when we are doing a C/S for fetal indications: such as >non-reassuring fetal heart rate pattern, as demonstrated by bradycardia, >decreased BTB variability, recurring severe variables, recurring late >decelerations, etc. and avoid using the term "fetal distress." Quite >frankly, I don't see how that really protects us, when you look at the ICD-9 >coding for these fetal conditions, the only diagnosis the coders can come up >with is: "656.31, Fetal Distress, Affecting Management Of Mother, Delivered >Fetal metabolic acidemia," which isn't what we are actually calling it, but >is the closest they can get. The real diagnosis would be something like >"Physician and Maternal Distress over fetal condition, high risk for >litigation unless I get it delivered ASAP, otherwise known as meconium >passed by physician." > >Ronald E. Ainsworth > >-----Original Message----- >From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Efrain >Ramirez >Sent: Monday, October 11, 2004 8:03 PM >To: Multiple recipients of list OB-GYN-L >Subject: 'Non Reassuring Fetal Status' vs. 'Fetal Intolerance to labor' any >preference in their use? > >"Non Reassuring Fetal Status" vs. "Fetal Intolerance to labor" any >preference in their use? If so - why? > >-- >"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) > -- art fougner, md ich bin ein New Yorker Next message: Len2976@aol.com: "Re: Gen: Florida 3 strikes amendment" Previous message: D. Ashley Hill: "Gen: Florida 3 strikes amendment"

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