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Re: Assistants at CESAREAN Section From: Malcolm Griffiths (Malcolm@mgriff22.demon.co.uk) Wed Aug 7 16:06:19 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Malcolm Griffiths: "copying prior message-reply 2" Previous message: Malcolm Griffiths: "Re: Depo-Provera and FSH level" In reply to: Frank Thibault: "Re: Assistants at CESAREAN Section" Next in thread: kathleen [tash] robb bodor: "Re: Assistants at CESAREAN Section" In message <199608051444.JAA28468@comp.uark.edu>, Frank Thibault <fthibaul@alumni.uark.edu> writes > >It is imperative to have a second physician in the room at the time of >Cesarean. I know that with good assistants one physician is all that is >necessary for the surgery. However if the baby has problems, some one has >to be available for it's resusitation. > >Long ago in a dark and dreary place, I delivered a baby by c-section that >was not breathing. I had the scrub nurse compress the uterus while I >resusitated the baby. As I started to regown the nurse anesthetist informed >me we had no BP. I told her to speed up the iv. She informed me it was >out. I did a quick subclavian vein stick and we were back at work. Mother >and baby did fine. There were some immediate policy changes at our >hospital. I still see the mother, but she decided that child was all she >wanted. This is obviously a difference between US & UK practice. We wouldn't dream of doing a CS in a unit without paediatric staff. Privatye hospitals here will similarly not allow obstetrci cases ( even elective CS's ) unless there is neonatal paediatric cover. -- Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt Obstetrician & Gynaecologist Luton & Dunstable Hosp.,UK. Tel: 01582-497459 (office) 01525-222849 (home) Fax: 01582-497424 email: Malcolm@mgriff22.demon.co.uk "It is dangerous to be right on a subject on which the established authorities are wrong." (Voltaire) Next message: Malcolm Griffiths: "copying prior message-reply 2" Previous message: Malcolm Griffiths: "Re: Depo-Provera and FSH level" In reply to: Frank Thibault: "Re: Assistants at CESAREAN Section" Next in thread: kathleen [tash] robb bodor: "Re: Assistants at CESAREAN Section"

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