Re: Hospital admissions for obstetric patients

From: DoctorJoe@aol.com
Fri Oct 27 08:04:17 2006


In a message dated 10/26/06 11:24:12 PM, zbnewton@bellsouth.net writes:

> As the patient's advocate in a delerious system of health care, admit her
> to
> your service, reins in hand, and send out the requests for consultation. You
> can then make your own judgment on accepting recommendations for
> intervention that we have all seen can be wildly off the wall and
> inappropriate on basis of pregnancy status.
>

Ditto that!

>From my experience, the OB knows more about the medical conditions in
pregnancy that all the consultants know about the medical condition when complicated by pregnancy. The patient is generally much safer in your hands.

One caveat: Some MFM-types, especially, seem to be of the opinion that a DELIVERED complicated pregnancy is a solved problem. Period. I think that's a cop-out, but I've seen it. Deliver/abort is the final answer to anything that complicates pregnancy. Obviously, for the OB/MFM, it DOES make the complicated pregnant patient simply a complicated NON-pregnant patient, hence "not my problem anymore." As I say, I think this is a cop-out. We didn't go to school for all those years to ... well, you know.

Joe P.





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