-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: 'How childbirth went industrial' From: Efrain Ramirez (eramirezt@coqui.net) Sat Oct 14 19:16:32 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: 'How childbirth went industrial'" Previous message: Efrain Ramirez: "Re: Prophylactic MgSO4" In reply to: Betsy Hyde: "Re: 'How childbirth went industrial'" Next in thread: Andrew Folley: "Re: Retire forceps and vacuums?" Agree with you...!! Ef >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 > -- “ The greatest obstacle to knowledge is not ignorance, it is the illusion of knowledge.” Daniel J. Boorstin - Historian Next message: Efrain Ramirez: "Re: 'How childbirth went industrial'" Previous message: Efrain Ramirez: "Re: Prophylactic MgSO4" In reply to: Betsy Hyde: "Re: 'How childbirth went industrial'" Next in thread: Andrew Folley: "Re: Retire forceps and vacuums?"

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: Thu Oct 2 04:54:35 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.