Re: Group B Strep
From: Jefferson Delfino (dr.jefferson@uol.com.br)
Fri Dec 2 14:06:07 2005
In matter of fact this rate occurs at private hospital. The right one is around (official) 34% at all.
By the way No one can show the problem with C/S. I use to say that: we only can face trobles when the C/S is properly indicated.
Here a lot of Gyn/Ob considerer vagina a noble part of body and to avoid scars, urinary incontinecy, etc.
I think the number of C/S will increase very muchall around the wrold. It,s a very good surgery and safe. We are walking fast for a one or two babies for families, pregnancies are coming late for the women, well C/S is a good think.
I know when I say this all of you think we are losting ours mind, but sometimes we can be right.
At least, but not last that is a good test even for C/S, you don't think so?
Jefferson
---------- Início da mensagem original -----------
De: ob-gyn-l@obgyn.net
Para: "Multiple recipients of list OB-GYN-L" ob-gyn-l@dns.obgyn.net
Cc:
Data: Fri, 2 Dec 2005 13:28:25 -0600
Assunto: Re:Group B Strep
> Jefferson
> I thought Brazil had a C-section rate approaching 80%??? Do you still do
> GBS screens at 36 weeks?andrew
>
> >From: "Jefferson Delfino"
> >Reply-To: ob-gyn-l@obgyn.net
> >To: Multiple recipients of list OB-GYN-L
> >Subject: Re:Group B Strep
> >Date: Thu, 1 Dec 2005 09:26:24 -0600
> >
> >Here I used to do the test regularly around the 36 w, twins, risk
> >pregnancy.
> >Sorocaba city - SP - Brazil
> >
> >Jefferson Delfino MD
> >
> >---------- Início da mensagem original -----------
> >De: ob-gyn-l@obgyn.net
> >Para: "Multiple recipients of list OB-GYN-L" ob-gyn-l@dns.obgyn.net
> >Cc:
> >Data: Wed, 30 Nov 2005 16:53:09 -0600
> >Assunto: Group B Strep
> > > I can't answer for other places, but I know that, wherever I have been,
> > > Group B strep has always been of interest even if not a routine
> > > investigation. Thus if someone asked for the test to be done it would
> > > be, if facilities were available. In my last hospital the lab would
> > > have been able to culture it on an ad hoc basis but didn't have the
> > > facilities to screen large numbers, whereas where I am now efforts are
> > > made to swab everyone at 36 weeks. Would someone be able to sue
> > > successfully in another country? I doubt it, because the lawyers and
> > > expert witnesses would not regard it as a breach if it were not standard
> > > of care in the host country.
> > >
> > > Steve
> > >
> > > ________________________________
> > >
> > > ________________________________
> > > From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Elrod
> > > Darryl G MAJ 48 MDOS/SGOBO
> > > Sent: Wednesday, 30 November 2005 7:22 PM
> > > To: Multiple recipients of list OB-GYN-L
> > > Subject: RE: Dr.Klein, where are you
> > >
> > > Steve,
> > >
> > > I'm curious about something in that statement. Knowing that in the US
> > > it is standard of care to test for and to treat GBS, what would you say
> > > to a relative that moved to a country that did not practice along those
> > > same lines?
> > >
> > > It is that way in at least a few of our host nations where our service
> > > women and dependants are seen. Should that be seen as a breech of US
> > > standards, or just being assimilated into their culture and practices
> > > and deemed an acceptable risk as we are in their country?
> > >
> > > Glen
> > >
> > > ________________________________
> > >
> > > ________________________________
> > > From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
> > > Raymond Stephen
> > > Sent: Wednesday, November 30, 2005 1:17 AM
> > > To: Multiple recipients of list OB-GYN-L
> > > Subject: RE: Dr.Klein, where are you
> > >
> > > The difference between obstetrics in the USA and that in Britain comes
> > > down to a fundamental difference in the organisation of medicine in the
> > > two countries - socialised medicine (the NHS) and capitalist medicine.
> > > Despite all its faults the NHS allows for an integration of obstetrics
> > > into a model which covers all needs under one organisation. The thread
> > > about GBS highlights the fact that different societies have different
> > > rates of Streptococcal colonisation, and what is appropriate in one
> > > country is not in another.
> > >
> > > Steve
> > >
> > > ________________________________
> > >
> > > ________________________________
> > > From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Henry
> > > Gregor
> > > Sent: Wednesday, 30 November 2005 12:02 PM
> > > To: Multiple recipients of list OB-GYN-L
> > > Subject: Re: Dr.Klein, where are you
> > >
> > > Amen! Clearly Zach is correct in noting the degradation of this topic to
> > > trivial responses, which is not the same as saying the thread topic is
> > > trivial. However, it is an apples and orange thing to compare practices
> > > from two different venues w/o noting (albeit sadly, no doubt) that what
> > > occurs in one place or the other is not free of the cultural, legal and
> > > other sociological factors that impact on the process. Gosh, I'd like to
> > > do midwifery in GB, with a social compact society that accepts both the
> > > advantages and any possible disadvantages inherent to the process. For
> > > the many reasons noted earlier, that practice model doesn't work here.
> > > To say folks should work for change is admirable, though it is not
> > > gonna' happen...perhaps we should all think "Serenity Prayer" here...as
> > > in Lord give me the wisdom to...etc., etc. (I suspect most respondents
> > > have no trouble acknowledging the aptness of the prayer.)
> > >
> > > We might all remember the line re a fa! natic being one who cannot stop
> > > talkiing about a subject and who cannot change the subject. Gail, I hope
> > > you ultimately do well without your nicotine.
> > >
> > > Hank
> > > RModugno@aol.com wrote:
> > >
> > > In a message dated 11/29/2005 7:00:47 PM Eastern Standard Time,
> > > ricechaz@gorge.net writes:
> > >
> > > I wouldn't jump to the assumption that anyone posting
> > > here is guilty of trivializing our patients problems.
> > >
> > > Especially Zach Newton!
> > >
> > > Robert Modugno MD MBA FACOG
> > >
> > > Marietta, GA
> > >
> > > ________________________________
> > >
> > > ________________________________
> > >
> > > Yahoo! Music Unlimited - Access over 1 million songs. Try it
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> > >
> > > Tasmania Together 5 Year Review: Have your say
> > > http://www.tasmaniatogether.tas.gov.au/
> > >
> > > Tasmania Together 5 Year Review: Have your say
> >http://www.tasmaniatogether.tas.gov.au/
> > >
>
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