Re: Mg for all???
From: Efrain Ramirez (eramirezt@coqui.net)
Sun May 20 08:27:15 2007
I am a believer of Mg prophylaxis for many, many years -
Ef
> At Fri, 18 May 2007, Andrew Folley wrote:
>
>I have to go back to my original question. The literature or at least the
>article than Ron shared suggests that we should be treating all
>preeclamptics and all sever PIH with Mg for seizure prophylaxis. I have
>not been this aggressive and doubt if any of us have been. Should we be more
>liberal in our using more Mg prophylaxis??
>
>>From: johnprov@sympatico.ca (Dr. John Provatopoulos B.Sc. M.D.C.M.
>>F.R.S.C.)
>>Reply-To: ob-gyn-l@obgyn.net
>>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>>Subject: Re: Finished/VABC
>>Date: Fri, 18 May 2007 15:25:58 -0500
>>
>>At Fri, 18 May 2007, Henry Gregor wrote:
>> >
>> >"Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C." <johnprov@sympatico.ca>
>>wrote: unless the hospital
>> >wants to pay an ob and anesthesist to be available.
>> >
>> >--
>> >Take care, John
>> >
>> > Might as well add "to pay for the cost of always having an or room open
>>and available" too...there won't be any forgiveness for the hospital or
>>providers if everyone's available, but the phsical space is tied up with
>>other cases.
>> >
>> > H
>> >
>> > Hank
>> >
>>
>>In Canada the latest SOGC guidlines (similar to ACOG) had revised
>>guidlines in 2005 also. They also said hospital should be able to
>>preform surgery imediately and then about 3 months latter defined that
>>as 30 min. The guidlines also said ob and anesthesia should be made
>>aware of all labouring VBACS, our department reviewed it and said we
>>really don't have to be made aware, I think I was the only one who
>>didn't object to be made aware of all labouring VBAC's when I am on
>>call.
>>
>>--
>> Take care, John
--
“ The greatest obstacle to knowledge is not ignorance,
it is the illusion of knowledge.” Daniel J. Boorstin - Historian