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Re: C-section versus vaginal delivery (percentages)From: Diane E.B. Petersen (peter261@gold.tc.umn.edu)Wed Sep 25 22:50:36 1996
>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. >@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ >R.Daniel Braun, MD FACOG "Money will buy you a fine dog, >Clinical Professor but only love can make it >wag its >Department of OB/GYN tail" >Indiana U. School of Medicine Richard "Kinky" Friedman >OBGYN.net, International Representative, U.S. >@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ That is why I practice in a group where we rotate call and do not operate the morning after being on call, so that we are not sleep deprived and so that we do not alter care based upon our own demanding schedule. I realize that this is a luxury that all can not afford or arrange. Once the reasoning behind our rotating call schedule is explained, I have yet to have a patient complain about it. P.S. Our TOL success rate has been running 90% with about a 65-70% TOL rate. Not to brag...but I am proud of these numbers :) Now, of course, someone will want to discuss whether or not I should be proud of these numbers :0
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