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Re: Birth Plans From: Dr Eberhard W Lisse (el@lisse.na) Sun Jun 22 04:05:14 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Robert Radnich: "Re: Birth Plans" Previous message: Roberta Speyer: "Ob/Gyn killed in Somalia" In reply to: jay kulkin: "Re: Birth Plans" Next in thread: Malcolm Griffiths: "Cord-clamping ( was Birth Plans )" Reply: Malcolm Griffiths: "Cord-clamping ( was Birth Plans )" Jay, Geffrey At 21:52 +0100 21/6/97, jay kulkin wrote: [...] >In fairness, we've not had any problems other than fits from our Anesthesia >colleagues. Most of the requests make sense, save money and create a less >invasive experience. birth plans give patients a sense of control- which >they need to have. Creates a team of which the doctor is a player. Hope >that helps. [...] >>1) Eating during labor >>2) Ambulation with epidural >>3) Cord clamping after the pulsations cease >>4) No IV access [...] I personally am fortunate in only having heard about one patient in my career requesting a birth plan with a private practitioner. (Of course she had a C/S in the end for fetal distress :-)-O). I think it's not the plan per se that is a nuisance but the religious adherence to it :-)-O. Many of these requests are perfectly ok, and form part of the routine in many countries. Once labour is established they remain nil per os here. We don't do many epidurals but I would think that the routine use of epidurals is the problem rather then the request for ambulation. Cord clamping? Our, fairly unsophisticated patients, who consider childbirth a natural event happening regularily :-)-O, don't like the practice of the baby on the mother's belly. But then perhaps they haven't been informed yet that they are to bond. :-)-O But I digress, I do believe in the reasoning that if the baby is below the level of placenta some blood may flow towards the baby, though I doubt it plays any role at all. IV access but no IV? Why would you do this? Either she needs an IV or she doesn't. I have yet to se a labour patient where the midwives couldn't put up a drip when indicated. el -- Dr. Eberhard W. Lisse\ / Swakopmund State Hospital <el@lisse.NA> * | Resident Medical Officer Private Bag 5004 \ / +264 81 124 6733 (cell) 64 461005(h) 461004(f) Swakopmund, Namibia ;____/ Domain Coordinator for NA-DOM (el108) Vice-Chairman, Board of Trustees, Namibian Internet Development Foundation, an Association not for Gain. NAMIDEF is the Namibian Internet Service Provider. Next message: Robert Radnich: "Re: Birth Plans" Previous message: Roberta Speyer: "Ob/Gyn killed in Somalia" In reply to: jay kulkin: "Re: Birth Plans" Next in thread: Malcolm Griffiths: "Cord-clamping ( was Birth Plans )" Reply: Malcolm Griffiths: "Cord-clamping ( was Birth Plans )"

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