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Re: 48 hour stay From: Elrod Darryl G MAJ 48 MDOS/SGOBO (Darryl.elrod@LAKENHEATH.AF.MIL) Tue Nov 29 02:40:28 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: GA12L@aol.com: "Re: C/S complications" Previous message: GA12L@aol.com: "Re: 48 hour stay" Maybe in reply to: Babycatchers@aol.com: "48 hour stay" Next in thread: GA12L@aol.com: "Re: 48 hour stay" Just like with any other choice made by moms, dads, or whomever, if they want to go home earlier then they would sign an 'Against Medical Advise" form acknowledging that we have recommended they stay and they want to go. Unlike probably everyone else on this list, to some degree I can make people stay. I've only ever done it once, but with an active duty member they can not leave against my advice. I say they stay...they stay. Period. I'm not saying this is the best way to get patients to go along with the plan, but it can be used if necessary. Why don't you test for GBS? I'm about to have to go down this road with our Portugese referral hospital. I've pulled a bunch of review articles on GBS, but have yet to cull them to get the numbers of preventable GBS illnesses with universal GBS screening and treatment. Glen ________________________________ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of -- ________________________________ GA12L@aol.com Sent: Tuesday, November 29, 2005 9:29 AM To: Multiple recipients of list OB-GYN-L Subject: Re: 48 hour stay In a message dated 29/11/2005 01:15:22 GMT Standard Time, Babycatchers@aol.com writes: And we have had several whose mom tested beta strep neg. at 36 weeks, but at about 40 hours, the babies suddenly are symptomatic. If GBS is neg at 36 weeks it can be pos at 37. We don't routinely test all women for GBS and don't have a problem. If a woman is tested and gives birth beofre the result is back and it's pos, we bring her and her baby back in. Our community midwives are more than capable of refering women and/or their babies back to the hopsital for anything. "the peds make them stay 48 hours" You see this is the problem I have. Who can MAKE then do anything. They are adults in their own right and unless your hospital is a prison then no one can make anyone do anything they don't want to. Unless they're blackmailed with CPS... What after care do they get in the community after they've been discharged? Gail Next message: GA12L@aol.com: "Re: C/S complications" Previous message: GA12L@aol.com: "Re: 48 hour stay" Maybe in reply to: Babycatchers@aol.com: "48 hour stay" Next in thread: GA12L@aol.com: "Re: 48 hour stay"

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