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Re: Today was a GOOD day! From: ainsron (ainsron@sbcglobal.net) Fri Feb 29 12:23:06 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Meenan, Anna: "Re: Today was a GOOD day!" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Today was a GOOD day!" In reply to: R. Daniel Braun: "Re: Today was a GOOD day!" Next in thread: Meenan, Anna: "Re: Today was a GOOD day!" You're not (or weren't) practicing in the real world, Dan. The smaller hospitals are the "real world," not tertiary care centers with everyone present 24/7. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of R. Daniel Braun Sent: Friday, February 29, 2008 9:58 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Today was a GOOD day! Anna, I was not being facetious. However, you just gave a good reason to break the BOW.(To adequately monitor the fetus) You didn't tell us that before. (or I missed it) John, Breaking the bag because you think there might be meconium is one of those indications that people accept, but there is not much evidence for it. What difference does it make in your management ??? Perhaps in smaller hospitals without Peds present down the hall, it might make you call in the peds if you knew it was present.(that would justify it). In our hospital where we have peds residents and neonatal fellows 20 yards away, it really doesn't. Dan On Fri, Feb 29, 2008 at 12:04 PM, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. <johnprov@sympatico.ca> wrote: At Fri, 29 Feb 2008, R. Daniel Braun wrote: > >And why did you break the BOW??? You already had decels earlier and now you >take away the baby's protective mechanism???? > >Yes I know everyone FEELS that breaking the bag helps things along. BUT ALL >of the STUDIES show that it does NOT!!!!!! > >Dan > Dan I don't see anything wrong with an arm at 9cm, I would do it to check for thick mec more than anything, thick mec deccels and decreaces variablity would make me call in the Pediatrician from home. -- Take care, John -- R. Daniel Braun, MD FACOG(L) ABMP CMTh 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 Next message: Meenan, Anna: "Re: Today was a GOOD day!" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Today was a GOOD day!" In reply to: R. Daniel Braun: "Re: Today was a GOOD day!" Next in thread: Meenan, Anna: "Re: Today was a GOOD day!"

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