Re: Rhogam
From: Efrain Ramirez (eramirezt@coqui.net)
Sat Feb 28 15:43:05 2009
Waterbirth is for whales..
Ef
At Thu, 26 Feb 2009, Glen Elrod wrote:
>
>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
>
--
"Life is what happens to you while you're busy making other plans."- John Lennon
