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Re: Hospital admissions for obstetric patientsFrom: D. Ashley Hill (dahmd@cfl.rr.com)Fri Oct 27 21:08:32 2006
I appreciate the well-reasoned responses. I reviewed my original post and need to clarify something. Our service will admit almost every patient who is pregnant, regardless of condition, except for critically ill patients. IMHO ob/gyn physicians usually do not have the knowledge to admit critically ill patients to highly specialized units (for example, neuro ICU). Unfortunately, because of the fear of liability exposure when managing pregnant patients, we have a hard time finding sub-specialists who will admit these patients. It's one thing to admit someone with asthma or diabetes or pyelonephritis, but quite another to attempt management of a pregnant patient with, for example, a debilitating cardiac lesion requiring ICU admission and surgery. I work in a large hospital with a number of specialized units. We don't normally go to those units and I worry that not only do ob/gyn physicians have a knowledge deficit when managing certain sub-specialty conditions, but we also may not know the "language" of such units which increases the risk of miscommunication. Thanks again, everyone. Ashley
-- D. Ashley Hill, MD Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency Medical Director, Loch Haven Ob/Gyn Group Division Director, Dept. of Ob/Gyn, Florida Hospital Orlando Orlando, Florida
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