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Richard Chudacoff, MD
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From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
Len2976@aol.com
Sent: Wednesday, August 03, 2005 12:14 PM
To: Multiple recipients of list OB-GYN-L
Subject: Re: Postdates,Neonatal Death
Anna--
You wonder how they will raise teenagers? I can tell you--to be just like
themselves. Take 2 recent episodes in our practice:
#1. A 16 y/o was scheduled for an elective IOL at 39 weeks. The patient
and mother insisted she could not handle it any more, and the obstetrician
scheduled her for cytotec ripening. The day she was to come in L&D was busy
and they called to tell her that the elective had to be postponed till the
next day. The patient's mother screamed at the nurse, swore, and threatened
to either "call her attorney" or take her to another. After I assured her
another hospital would not induce her without a medical indication that
evening, she reluctantly accepted the postponement.
#2. A teenager had a C/S due to arrest of labor at 8 cms. Immediately
after returning to her room from the RR, both the patient and her mother
inisisted she "needed a cigarette." After being told she could not smoke so
soon after surgury, could not smoke in her room at all, both the patient and
her mother signed an "AMA" form to put her in a wheelchair to go outside to
smoke--less than 2 hrs. after a C/S!
Lenora McCall, CNM
