Re: Date: Mon, 21 Aug 2000 06:46:32 -0500
From: art fougner, md (evsono@pipeline.com)
Mon Aug 21 09:09:51 2000
does the physician need to be immediately available? LOL
art
At Mon, 21 Aug 2000, Braun, R. Daniel wrote:
>
>I suggest that you read the ACOG Guideline on PIH. It says always sitting.
>
>Dan
>
>R. Daniel Braun, MD FACOG
>Clinical Professor
>Department of Obstetrics and Gynecology
>Indiana U. School of Medicine
>Indianapolis, IN 46202
>
>OBGYN.net
>International Representative for United States
>
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>
>-----Original Message-----
>From: ainsron@msn.com [mailto:ainsron@msn.com]
>Sent: Saturday, August 19, 2000 9:20 AM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re:
>At Sat, 19 Aug 2000, K Dew wrote:
>>
>>Comments in the thread about bed rest make me want to poll the list about
>>what they consider part of the routine prenatal visit.
>>
>>I always get weight, dip the urine, bp (left side), fundal height, fetal
>>heart tones by Doppler, check for edema.
>>
>>depending on the answers to the questions "are you having
>>cramps/contractions/unusual discharge/bleeding/pressure I may do a spec
>>exam/wet mount/cervical exam.
>>
>>I do not start "regular" cervical exams until 40 weeks unless the screening
>>questions are positive
>
>Agreed, with the exceptions that I do cervical checks starting at 36
>wks, unless the head is still ballotable and I check BP sitting, unless
>it is elevated, then I check on Left side. My rationale for sitting BP
>is that patients are ambulating most of the time and I want to see what
>is happening in their "normal" state.
>
>--
>Ronald E. Ainsworth, MD
>
--
art fougner, md
A series of 1000 cases begins with but a single anecdote.
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