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Re: 24 week-er From: Efrain Ramirez (eramirezt@coqui.net) Tue Jul 11 21:34:13 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Gyn: Rendering someone amenorrheic" Previous message: Henry Gregor: "Re: colitis and HRT" In reply to: Babycatchers@aol.com: "24 week-er" Next in thread: Garry E. Siegel, M.D.: "Gyn: Rendering someone amenorrheic" Reply: Garry E. Siegel, M.D.: "Gyn: Rendering someone amenorrheic" Reply: ainsron: "Re: 24 week-er" INHO the whole issue is lack of communication – the OB should have talked to the parents before, the neonatology department should have been consulted – straight and compassionate but they make the decision – unfortunately I’ve been there but it is the only way to do it – BTW - http://www.babycenter.com/general/pregnancy/1290794.html Also - Garry's protocol seems very, very reasonable.. Ef At Mon, 10 Jul 2006, Babycatchers@aol.com wrote: > >I just need an opinion here. >About 2 weeks ago one of our OBs had a 23 week G2P0, _SAB@19_ (mailto:SAB@19) > weeks come in dilated 4 cm with bulging BOW. He put her in trendelenburg >and did a cerclage. A week later she came in with vaginal bleeding and the >suture had torn thru the cervix. The referral center would not take her because >she was 24 weeks. >She camped for several days until her white count went over 26 K with IV >antibiotics and SROM. She delivered about 18 hours later. the baby had a heart >rate over 120 the whole labor and then spontaneously cried at delivery. The OB >did not work the code and documented a 0 apgar at 5 min. The OB nurse did not > hart the baby without a heart rate until almost 2 1/2 hrs later and had the >ER doc come pronounce since the OB wouldn't come back in. The baby was 484 >grams. Spontaneous respirations that lasted at least a couple of minutes. The >ped was on the unit at the time of delivery, but the OB did not call her in or >call the referral center. >I just happened to be there when the heart rate stopped and caught hell from >the ER doc for not working the code. >So- what would you have done? Do you work the code and punt to the >pediatrician? >This was 2 weekends ago and there has already been a lawsuit filed. I am not >involved, but if (God forbid) it happens while I am the only one on the >unit- do I work a code? When I worked at a hosp with a NICU- you always worked if >they cried- regardless of weeks. > >Vicki Smith, CNM, MSN >West Virginia >Midwives- changing the world one baby at a time. -- “ The greatest obstacle to knowledge is not ignorance, it is the illusion of knowledge.” Daniel J. Boorstin - Historian Next message: Garry E. Siegel, M.D.: "Gyn: Rendering someone amenorrheic" Previous message: Henry Gregor: "Re: colitis and HRT" In reply to: Babycatchers@aol.com: "24 week-er" Next in thread: Garry E. Siegel, M.D.: "Gyn: Rendering someone amenorrheic" Reply: Garry E. Siegel, M.D.: "Gyn: Rendering someone amenorrheic" Reply: ainsron: "Re: 24 week-er"

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