--
Richard Chudacoff, MD, FACOG
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Glen Elrod
Sent: Thursday, February 26, 2009 4:31 PM
To: Multiple recipients of list OB-GYN-L
Subject: Re: Rhogam
AFI of 37, bilateral hydronephrosis with right ureteral obstruction.
The local midwives really didn't feel comfortable doing this delivery.
Their regs say they need to consult with an MD for poly. I brought her in
for amniotomy with needle.
I've been (ready for flames) been thinking about water birth for a while,
since I've been watching a whole host of midwifery 'propaganda' movies
recently. We have a birth tub but no policy. She got in the tub for labor
and with the CDM help we had a water birth. That situation totally flies in
the face of AWHONN standards and protocols.
Glen
_____
From: Richard Chudacoff <rchudacoff@mylinuxisp.com>
To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net>
Sent: Thursday, February 26, 2009 2:54:27 PM
Subject: Re: Rhogam
Home delivery? Why did she come to see you at all?
--
Richard Chudacoff, MD, FACOG
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Glen Elrod
Sent: Thursday, February 26, 2009 3:36 PM
To: Multiple recipients of list OB-GYN-L
Subject: Re: Rhogam
Transfusion was the only thing I could come up with. but the liklihood is
so low.
Why the objection? Probably the same reason she objected to fetal
monitoring, pit, vit K, eye ointment, etc etc etc.
Glen
_____
From: "art fougner, md" <evsono@pipeline.com>
To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net>
Sent: Thursday, February 26, 2009 1:59:12 PM
Subject: Re: Rhogam
Oh transfusion reaction down the road, difficulties if a transplant
needed ... what exactly is her objection?
Art
At Thu, 26 Feb 2009, Glen Elrod wrote:
>
>Pt today is s/p delivery and is refusing Rhogam. Baby was Rh +, but they
are certain they are done having kids. He is having a vasectomy. She
states she will not have other children even if her children die, husband
dies, etc.
>
>Is there any NON-pregnancy risk to not getting Rhogam now?
>
>Glen
--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton
