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Re: IUFDFrom: ainsron@msn.comTue Apr 25 09:10:51 2000
At Tue, 25 Apr 2000, art fougner, md wrote: > >transverse lie + efw lbs = c-section. > >Art > >PS > >the disturbing message of this case is the practice of midwifery outside >the mainstream. pity that the usa is still unable to truly integrate >midwifery and obstetrics as our colleagues in other countries. You're right about the lack of integration. This patient lives in a community about 75 miles from here with a small community. When she went past 42 weeks, the lay midwife wanted to have her go to the hospital for a NST and contacted all of the GPs doing Ob in the community, non would approve a NST - because "she's not my patient." She even contacted the ER physician, who refused to get involved. I'm not sure if she physicically went into the ER and was sent on her merry way, or if it was just a phone contact. If it was a physical presence in the ER and the patient was not adequately evaluated, in my mind that is below the standard of care, and probably violates the COBRA statutes. She ended up in my town because the lay midwife is friends with one of the CNMs I back-up.
-- Ronald E. Ainsworth, MD
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