|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: Kick CountsFrom: ainsron (ainsron@sbcglobal.net)Mon Dec 19 17:11:44 2005
I tell all my patients about Kick Counts in the handout information I give them at the beginning of pregnancy, but don't encourage them to do it unless they are high risk, or "high Maintenance." Like I'm sure most of you, I do ask patients each visit if the "baby is moving regularly." If they tell me it is not or decreasing, I will ask them to do formal Kick Counts, as well as sending them to OB for a NST. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Saturday, December 17, 2005 12:29 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Kick Counts Richard: Your inductions with cytotec always deliver at 3 PM, and you've had no stillbirths. Your C/S rate is low. I am envious, and you should patent what you know that we don't! Then, you can retire! Seriously, FWIW, Kick counts are an intervention that have zero basis for recommendation. In some ways, "less is better," meaning why tell people to do something for which there is no indication. Joe pointed out that parts prenatal care (visit frequency and content), as many things we do, are not evidence-based--no doubt much of what we do isn't. Is asking patients to do kick counts innocuous? Probably. Could it lead to harm? Well, it could lead to more NSTs/L and D visits, and intervention based on the NST (again, this has a false-positive rate) such as induction and, if unsuccessful, cesarean. Then, they can't even VBAC. . .especially at home! If a patient had an unexplained IUFD with kick counts, would they feel any better or worse? Similarly, if they didn't do counts, how would they feel. My partners and I do not mention kick counts. If I'm asked, I'm ambivalent and tell them why. Garry on a soapbox for some reason
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Sun Nov 2 04:53:49 2008 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.