Re: Cord pH - Malpractice questionaire
From: Bernard Cristalli (bcrist@club-internet.fr)
Wed Jun 27 14:31:05 2007
This another relevant point.
IMO
Bernard
R. Daniel Braun a ¨¦crit :
> Then since it is for the benefit of the OB-GYN or his/her insurance
> company, they should pay for it. How much is a set of gasses in your
> hospital. I would guess they will be somewhere between $50 and $200 in
> most hospitals. I got a $53 bill for a fasting blood sugar this week.
> Let me see 3 million births in USA last year X's $100 = $300,000,000
> per year wasted. Send me a mere 1% and I will be happy.
> Dan
>
> On 6/27/07, *Bernard Cristalli* <bcrist@club-internet.fr
> <mailto:bcrist@club-internet.fr>> wrote:
>
> Totally agreed Dan, no use in treatment. But...
> It's an "a posteriori" defencive action.
> If the pH is not < 7.00, and/or base deficit ¡Ý 12 mmol/L, nothing
> severe
> occured to the baby during the labor and a cerebral palsy couldn't be
> attributed to you.
> See the 4 essential criteria all 4 necessary to consider hypoxia the
> etiology of cerebral palsy.
> ACOG Task Force on Neonatal Encephalopathyand Cerebral Palsy (2003)
>
> R. Daniel Braun a ¨¦crit :
> > What do you do diferent in the treatment of either the Mother or the
> > baby based on the blood gas results? If nothing, the test is
> worthless
> > and unwarranted.
> > Dan
> >
> > On 6/27/07, *Henry Gregor* <henrygregor@yahoo.com
> <mailto:henrygregor@yahoo.com>
> > <mailto:henrygregor@yahoo.com <mailto:henrygregor@yahoo.com>>>
> wrote:
> >
> > I agree with Ef...for all the stress and responsibility ob's bear
> > for each delivery until that child reaches legal majority, it's
> > money well spent. I've seen several cases of obs and peds getting
> > stung with a suit seven to twelve years down the line, and in each
> > instance that I interacted with any of the involved docs, there
> > were regrets expressed about not having done some things that
> > would have been to their advantage later down the line. It's
> > sorta' like an automotive seatbelt...cars would cost less if that
> > protective device weren't added to each one made, but when you
> > need one and benefit from it, its pretty cheap equipment and money
> > well spent. Placental path falls into the same category, IMO.
> >
>
> --
> R. Daniel Braun, MD FACOG(L) CMT
> Professor Emeritus
> Dept. of Obstetrics and Gynecology
> Indiana U. School of Medicine
>
> R. Daniel Braun
>
> "Science without Religion is LAME; Religion without Science is BLIND"
> Einstein 1941
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