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Re: 'How childbirth went industrial' From: art fougner, md (evsono@pipeline.com) Sat Oct 14 14:35:02 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Betsy Hyde: "Re: 'How childbirth went industrial'" Previous message: ainsron: "Re: CVA prior to pregnancy." In reply to: Betsy Hyde: "Re: 'How childbirth went industrial'" Next in thread: Betsy Hyde: "Re: 'How childbirth went industrial'" Reply: Betsy Hyde: "Re: 'How childbirth went industrial'" Excerpt ... "Worse, its heart rate began to drop with each contraction—120, 100, 80 the monitor went, taking almost a minute before returning to normal. It’s not always clear what dips like these mean. Malpractice lawyers like to say that they are a baby’s “cry for help.” Sounds a lot like John Edwards, doesn't it? Society has demanded of Obstetricians and Midwives "The Perfect Baby." What they will get is the perfect Section Rate - 100%. Frankenstein's Law - You make the monster, You live with the monster. Art At Sat, 14 Oct 2006, Betsy Hyde wrote: > >On Oct 14, 2006, at 9:09 AM, Andrew Folley wrote: > >> We are definitely moving away from the art and craft of medicine to >> rote "industrialized" process. >> I am afraid that ours is the last generation to practice "skillful >> obstretrics". Essentially anyojne graduating in the past 5-10 >> years of residency will not be trained or doing vaginal twins, >> breeches, forceps etc. Babies will either fall out or be >> sectioned. andrew > >A concern of mine is the exponential increase in c/s due to over- >reading of the fetal monitor strip. Despite the fact that 99% in our >institution have been certified in EFM, the residents (in particular) >have absolutely no tolerance for anything other than a totally >reactive strip without any decels. I'm sure part of this is due to >fear of liability, but we are sure doing a lot of sections for babies >with 9/9 apgars due to "non-reassuring fetal heart rate." > >I am convinced that the payoff will be increased accreta/percreta and >increased uterine rupture. > >-- >Betsy Hyde CNM >Branford, CT > -- art fougner, md "May The Wings of Liberty Never Lose a Feather." - Jack Burton Next message: Betsy Hyde: "Re: 'How childbirth went industrial'" Previous message: ainsron: "Re: CVA prior to pregnancy." In reply to: Betsy Hyde: "Re: 'How childbirth went industrial'" Next in thread: Betsy Hyde: "Re: 'How childbirth went industrial'" Reply: Betsy Hyde: "Re: 'How childbirth went industrial'"

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