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Re: CNM CasesFrom: D. Ashley Hill (dahmd@cfl.rr.com)Sun Nov 28 23:01:26 2004
We have had good experiences with doulas, but I will no longer care for patients who use the Bradley "method" since, at least in our area, those choosing this method are antagonistic towards physicians and hospitals and work very hard to thwart all attempts to discuss reasonable courses of action to benefit the baby and/or mother. For example, the last Bradley method patient I had presented with 5 days of prolonged membrane rupture, a temperature of 104 F, fetal tachycardia above 210 bpm with absent variability, and thick meconium. She refused antibiotics, expedited delivery, intravenous fluids, etc, even after very respectful informed consent was provided. Interestinly, lots of Bradley patients in our area will have their baby in an "evil hospital" because insurance pays for it, rather than having the baby in a birthing center or at home, where, one assumes, the experience would be more in line with their demands. Ashley
At Sat, 27 Nov 2004, GIN11153@aol.com wrote:
>
-- D. Ashley Hill, MD Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency and Loch Haven Ob/Gyn Group Orlando, Florida
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