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Re: MonitoringFrom: RModugno@aol.comSat Oct 28 11:13:50 2000
In a message dated 10/28/00 11:30:46 AM Eastern Daylight Time, cherivh@home.com writes: << And yes, it is absolutely wearying. In addition to labor-sitting and supporting the patient, I often find myself involved in long, complex, and emotionally demanding diplomacy with nursing staff, as well. I think of it as courting them. I try to compliment them on all the things they do well, listen to all of their opinions and judgments about what is happening with the patient, discuss my philosophy of labor management, share my thought processes about the individual patient's situation, joke and laugh with them, hear about their families and personal struggles, and then ultimately, when the rubber hits the road, we do things my way. It really is very hard work. Cheri Van Hoover, CNM San Francisco, CA >> I agree entirely. I work in a hospital that does about 14,000 deliveries annually. We have 36 LDR's and a large nursing staff - truely deserves its name of "baby factory". As you can imagine, individuality is difficult when dealing with such numbers... So it's basically admit 'em, pit 'em, give 'em their epidural, birth 'em, and on to the next. The CNMs in my practice have the opportunity to provide a more "personalized' service, hence we give our patients the option of Ob or midwife care - and it really is the care that matters, rather than whether intermittant or continous monitoring is used. ;+) Robert Modugno MD MBA FACOG Marietta, GA
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