Re: routine intrapartum labs

From: Jim Connerth (babydoc@apex.net)
Fri May 26 21:49:44 2000


"just in case"--of what and for what?? "D. Ashley Hill, MD" wrote:

> At Fri, 26 May 2000, maggiecnm wrote:
> >What is this group's opinion of routine cord gases for all infants
> >regardless of Apgars?
>
> I obtain a segment of cord for every delivery, just in case. You can
> generally hold onto a cord segment for up to 30 minutes. I obtain an
> actual pH for all operative deliveries, low Apgar scores, abnormal fetal
> heart rate tracings, and for babies with suspected high risk conditions
> (ie IUGR). I do not obtain a routine pH for all deliveries.
>
> At our hospital the most common "routine" labs for intrapartum low risk
> patients are a hematocrit and blood tag. (A "tagged" sample is when a
> tube of blood is sent to the blood bank and held, ready to be screened
> and crossmatched if necessary. It's a rapid method that is less
> expensive than a formal type and screen).
>
> Ashley
>
> --
> David Ashley Hill, MD
> Associate Director
> Department of Obstetrics and Gynecology
> Florida Hospital Family Practice Residency
> http://home.mpinet.net/dahmd





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