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Re: C-section versus vaginal delivery (percentages) From: dahmd@gate.net Wed Sep 25 19:59:12 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dan Logen: "Fibroid with necrotic center" Previous message: Gordon M. Goldman: "Re: uterus adhesion" Maybe in reply to: DR. Roberto Murguía Pozzi: "C-section versus vaginal delivery (percentages)" Next in thread: Larry Kincheloe: "Re: C-section versus vaginal delivery (percentages)" In article "R. Daniel Braun" <rBraun@IUNET.IUPUI.EDU> writes: >Wrong; If they go out in a group that takes call and has a person >assigned to cover L & D all the time. You get into situations where you >can't and won't stay up watching a tracing all night when you have to do >a hysterectomy at 8 AM teh next day or When you have been up with >other patients for the last 3 nights. It has nothing to do with Private >Practice or Indigent care(Higher risk than private practice), it has to do >with the ability to physically do it. I agree. My partners and I take 24-hour, in-hospital call on labor and delivery, which is tiring while you're doing it, but great when you're not on call. While on call I can give full attention to the many problems that can develop in labor, and address them quickly. I think that many times people get frustrated trying to cover the office patients, answer phone calls, do paperwork, AND address the needs of a laboring patient (or 2). I've seen people simply "give up" and tell the nurse "the heck with this, let's just do a c/section" since they get worn out running back and forth from the office to L&D to check a questionable fetal heart tracing. Our group has a c/section rate that ranges between 9-14% despite a hefty "high-risk" patient population, and I think much of that is because of 1-on-1 care. Ashley D. Ashley Hill, M.D. dahmd@gate.net Orlando, FL Next message: Dan Logen: "Fibroid with necrotic center" Previous message: Gordon M. Goldman: "Re: uterus adhesion" Maybe in reply to: DR. Roberto Murguía Pozzi: "C-section versus vaginal delivery (percentages)" Next in thread: Larry Kincheloe: "Re: C-section versus vaginal delivery (percentages)"

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