Re: 41 week Induction

From: Raymond Stephen (stephen.raymond@dhhs.tas.gov.au)
Sun Dec 4 19:36:08 2005


In my training no emphasis was placed on the "latent phase of labour" probably because I was brought up in the era of "active management". In South Africa however there was a whole list of definitions of what constituted "active phase" and distinctions between "active" and "latent phase". It scared the hell out of me because junior residents would dismiss patients with no progress as being still in latent phase, and there were occasions when this contributed to morbidity. For this reason I have always been unhappy with those who come in and niggle, and would rather see them augmented.

Steve

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From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of

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________________________________
DoctorJoe@aol.com
Sent: Monday, 5 December 2005 5:14 AM
To: Multiple recipients of list OB-GYN-L
Subject: Re: 41 week Induction

In a message dated 12/4/05 9:19:03 AM, garrys@mindspring.com writes:

It is with trepidation that I send home the young primigravida at, say 40w3d, who has been "contracting" for hours, maybe a day, but really isn't clearly in labor (i.e. 3 to 4 cm. and effaced with regular contractions).

I'm sorry, but it's there that the "art" of obstetrics comes in. If the patient is, e.g., 2 cm with irregular contractions, then she's in "prodromal" labor and can be "augmented." See, no induction! No worries, Mate!

Joe P.

P.S. Or to be all inclusive - hakuna matata, baby!

Tasmania Together 5 Year Review: Have your say http://www.tasmaniatogether.tas.gov.au/





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