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Re: CNM Cases From: D. Ashley Hill (dahmd@cfl.rr.com) Mon Nov 29 16:09:58 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: D. Ashley Hill: "Re: CNM Cases" Previous message: Cheri Van Hoover: "Re: CNM Cases" In reply to: Elrod Darryl G MAJ 48 MDOS/SGOBO: "Re: CNM Cases" "Mrs. Smith, it's a pleasure to meet you. I noticed that you have requested the Bradley method as your delivery method. I would like the opportunity to talk with you about this, because, unfortunately, I have had some unpleasant experiences with some of the ladies we care for who have chosen the Bradley method. Let's sit down for a few minutes to explore your goals for this pregnancy and delivery." Most of the time the patient actually wants what a lot of pregnant patients want, to be an educated patient and to make choices for herself that fit her goals and desires. That's wonderful, and of course I enjoy caring for them. However, some are almost militant, and I advise those (few) patients that I cannot care for them, but would be happy to refer them to several physicians or midwives who may be willing to help. Interestingly, in every case I receive a call down the road from the doctor or midwife saying "thanks for nothing." :) Ashley At Mon, 29 Nov 2004, Elrod Darryl G MAJ 48 MDOS/SGOBO wrote: > >How do you make it known that you won't care for them? Is it posted, or >asked at a prenatal visit and then the patient disengaged? > >Glen > >D. Glen Elrod, Maj USAF, MC >Obstetrician/Gynecologist >Maternal Child Flight >48 MDOS/SGOBO >UNIT 5210 Box 23 >APO, AE 09464 >DSN (314) 226-8334 >Comm 01638-52-8334 > >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 -- D. Ashley Hill, MD Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency and Loch Haven Ob/Gyn Group Orlando, Florida Next message: D. Ashley Hill: "Re: CNM Cases" Previous message: Cheri Van Hoover: "Re: CNM Cases" In reply to: Elrod Darryl G MAJ 48 MDOS/SGOBO: "Re: CNM Cases"

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