Re: Today was a GOOD day!
From: Efrain Ramirez (eramirezt@coqui.net)
Fri Feb 29 22:24:56 2008
Amnioinfusion..
Ef
At Fri, 29 Feb 2008, R. Daniel Braun wrote:
>
>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
>
--
"I can accept failure, but I can't accept not trying." - Michael Jordan
