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Re: (no subject) From: Efrain Ramirez MD (eramirez@icepr.com) Sat Feb 20 12:31:42 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "OB: Cystic Fibrosis Interview" Previous message: Freda Seddon: "office management software" In reply to: Freda Seddon: "office management software" Next in thread: Kathi Wilson, BHSc, RM: "Re: Intermittent Auscultation" Do you do VBAC's in settings where an emergency C/S i.e. expeditious delivery (less than 20 minutes)is not possible for any reason (lack of in-house anesthesia,surgeon,etc.)? At Sat, 20 Feb 1999, Freda Seddon wrote: > >>The ACOG Guidelines are >>available, and there seems to be no patient who is too high risk for IA >>with the possible exception of VBACs. > >In Canada, recomendations from Advanced Labour and Risk Managment = EFM for >augmentation/induction, non-reassuring fetal heart patterns. No admission >strip >VBAC's treated as low risk. > >Does your hospital realize that this will mean one on one nursing for every >patient in labor without fail and that Nurses cost more than monitors? > >You need to factor in the costs of nursing for women post csection, those >with epidurals. one on one care for women in labour reduces fetal distress, >csections and use of pharmacologic > >-- >Freda Seddon, RN, RM >Community Midwife >Midwifery Care Scarborough >2680 Lawrence Ave. East, Suite 211 >Toronto, Ontario M1P 4Y4 >(416) 757-4848 fax 757-1562 > -- Efrain Ramirez MD FACOG "The things you learn after you know everything are the important ones" Next message: Garry E. Siegel, M.D.: "OB: Cystic Fibrosis Interview" Previous message: Freda Seddon: "office management software" In reply to: Freda Seddon: "office management software" Next in thread: Kathi Wilson, BHSc, RM: "Re: Intermittent Auscultation"

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