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Re: 6 wk check upFrom: Garry E. Siegel (garrys@mindspring.ocm)Sat Jul 22 11:42:22 2000
At Sat, 22 Jul 2000, jkulkin wrote: > >Do most people do an exam at the six week post partum check up? What >about a pap? I've heard some are having the patient back at 1 year from >the first prenatal exam for the pap. Very inconvenient for the patient >who must miss work, wait for the doc etc.... Just wondering what the >standard of practice is these days? Does ACOG have a list of global >services to be provided in pre/postnatal care? I haven't checked in a >while. > >Jay > >"Braun, R. Daniel" wrote: > >> Part 1.1Type: Plain Text (text/plain) Jay: Personally, when the patient comes in for a 6 week PP exam, I do a full exam and pap as if it were an annual preventative service, even if the last pap (like when she was first seen at 8ish weeks) was only 8 months ago. In this fashion, the pap that is "due" in 4 months isn't missed. Of course, if she is bleeding too heavily, then I omit the pap, and ask them to come back. In a former Atlanta practice in Sandy Springs with a couple of older gyns, one semi-retired (you know who), they got upset when you did a pap at 6 weeks rather than have *their* patient return in 4 months or whenever it was due. To some degree, then and is now, there is renevue to be made in having the patient return for a separate, chargeable service in 4 months. In an ideal world, I think the 4 month visit would be cool; in practical terms, I think a 6 week pap is appropriate. Garry
-- Garry E. Siegel, M.D., F.A.C.O.G. Private Practice Roswell, GA
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