Re: frequency of induction/augmentation in US

From: art fougner, md (evsono@pipeline.com)
Wed Jul 5 14:21:20 2000


Geff - an interesting concept to be sure. the definition of perinatal mortality uses 1000 live births as the denominator. but at term, and most certainly postterm, what we might wish to look at is the risk of mortality among the cohort of fetuses still undelivered. if you perform this exercise, you find that the nadir of mortality is about 37+ wks. the rate rises rapidly after that. a woman having an NST once asked me what we were waiting for once the risk of prematurity had past. good question!

Art

At Mon, 3 Jul 2000, Geffrey Klein, MD wrote: >
>At 10:37 AM -0500 on 7/3/00, Barborza@aol.com wrote:
>
>>In a message dated 7/3/00 3:13:34 PM !!!First Boot!!!, elishyde@connix.com
>>writes:
>>
>>> Does anyone have any recent references for the frequency of pitocin
>>> induction or augmentation in the US?
>>Hi Betsy,
>>I don't have national stats, but I can tell you that some hospitals around
>>here don't know what a spontaneous labor is anymore. Truly frightening. I
>>HATE non medically indicated inductions. Actually, I'm not crazy about ANY
>>induction, but know some are necessary.
>
>heresy follows...
>
>hmm.. I would like to see a study on voluntary elective induction of
>multiparous patients with ripe cervices at 39 weeks gestation by
>adequate dating criteria. I suspect that patient satisfaction would
>be high while cesarean rate and maternal and fetal complications
>would be equal to matched controls..
>
>--
>_______________________
>Geffrey H. Klein, MD
>_______________________
>geffrey.klein@obgyn.net
>200 Medical Center Blvd Suite 103
>Webster, TX 77598
>(281) 332 6723
>
>http://www.geffreyklein.com
>

--
art fougner, md

A series of 1000 cases begins with but a single anecdote.





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