Re: Today was a GOOD day!

From: Meenan, Anna (annam@uic.edu)
Fri Feb 29 23:00:19 2008


Not even sure what you're asking here, el, but that doesn't surprise me. Is it evidence-based to not want my resident to get sprayed with amniotic fluid? Do I care if it is? Evidence-based to have a ped around or not? Again, i don't care, as I am qualified to resuscitate if need be. Not sure where you're going with it.

Anna Meenan, MD

>Which part of this is evidence based?
>
>on 2/29/08 9:40 PM Meenan, Anna said the following:
>>Well, in our hospital, we don't always have a ped around, but I'm
>>not real big on breaking the bag just to see if there is mec
>>either, since i am NRP certified. Our nurses are real big on it,
>>however, and the NICU crew complains if they get called at the last
>>minute, even though they are right down the hall. OTOH, I'm not
>>into having moms push with bag intact if it's bulging way out ahead
>>of the baby, as eventually the resident standing in front of mom's
>>perineum will get soaked, so if there is a big bulgy bag and it is
>>time to push, I usually do break it. In this case, there actually
>>was thin mec, but heart tones had excellent variability when the
>>spiral was placed.
>
>el
>
>--
>Dr. Eberhard W. Lisse \ / Obstetrician & Gynaecologist (Saar)
>el@lisse.NA el108-ARIN / * | Telephone: +264 81 124 6733 (cell)
>PO Box 8421 \ / Please do NOT email to this address
>Bachbrecht, Namibia ;____/ if it is DNS related in ANY way





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