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Re: routine intrapartum labs From: John Robertson MD (john.robertson@obgyn.net) Sat May 27 12:01:02 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: John Robertson MD: "Fri: How many women with PMS does it take to screw in a lightbulb?" Previous message: Braun, R. Daniel: "Re: The case of the Red Pelvis." In reply to: D. Ashley Hill, MD: "Re: routine intrapartum labs" Next in thread: Jim Connerth: "Re: routine intrapartum labs" At Fri, 26 May 2000, 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. This is what we do as well. Easy to throw out the cord after 30 min if all is well. Not easy to get a gas if things start to go sour late. > >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). We are simmilar. Anaethestists like to see platelets prior to epidural/spinal. > >Ashley > John -- J.G.M.Robertson MD, 109-9181 Main St. Chilliwack, B.C. V2P 4M9 (604) 793-9988 e-mail john.robertson@obgyn.net Who is wise and understanding among you? Let him show it by his good life, by deeds done in the humility that comes from wisdom. James 3 vs 13, NIV Next message: John Robertson MD: "Fri: How many women with PMS does it take to screw in a lightbulb?" Previous message: Braun, R. Daniel: "Re: The case of the Red Pelvis." In reply to: D. Ashley Hill, MD: "Re: routine intrapartum labs" Next in thread: Jim Connerth: "Re: routine intrapartum labs"

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