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Re: Near Term Twins/Delivery Mode--long reply From: art fougner, md (evsono@pipeline.com) Sat Dec 23 11:51:25 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: Near Term Twins/Delivery Mode--long reply" Previous message: Geffrey Klein, MD: "Re: Near Term Twins/Delivery Mode--long reply" In reply to: Efrain Ramirez: "Re: Near Term Twins/Delivery Mode--long reply" Next in thread: art fougner, md: "Re: Near Term Twins/Delivery Mode--long reply" in the 1980's, anticipating that particular scenario - we obtained a sample for gases at every delivery. if the baby was vigorous at birth and went to normal nursery, gases were never sent. OTH, if the newborn needed resuscitation, gases were sent and invariably were not acidotic. wasn't science, but hey - it's a jungle out there. art just my opinion, i could be wrong. At Sat, 23 Dec 2000, Efrain Ramirez wrote: > >Based on a true story. Actual numbers may change but not radically... > >Let's see this scenario - baby APGAR score 8/8 - cord gases - 7.08 PCO2 >70 - 24 hours after delivery baby develops seizures (while breast >feeding at her Ob room)- discharged OK - few months later baby has some >"developmental problems -- seizures" --- pediatrician's assessment - >intrapartum asphyxia - argues APGAR scores are very subjective - didn't >know I had cord gases - she found later about gases - Dx changed - baby >died - seizures - strong family Hx of seizures - > >Geff- I will continue to draw gases to every baby - you will eventually >do it - it's a matter of time -- >At Fri, 22 Dec 2000, Geffrey Klein, MD wrote: >> >>At 4:25 PM -0600 on 12/21/00, Efrain Ramirez wrote: >> >>>One good thing about cord gases is that they don't have to "look" >>>acidotic - is there significant acidemia - yes/no -(<7.00) >> >>But why would you want to give the plaintiff's expert an acidotic gas >>when the baby was not in need of resuscitation at birth? >> >>-- >>_______________________ >>Geffrey H. Klein, MD >>_______________________ >>_______________________ >>_______________________ >>geffrey.klein@obgyn.net >>200 Medical Center Blvd Suite 103 >>Webster, TX 77598 >>(281) 332 6723 >> >>http://www.geffreyklein.com >> >-- >"Do not take life too seriously. You will never get out of it alive." > >Marianne Williamson > -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: art fougner, md: "Re: Near Term Twins/Delivery Mode--long reply" Previous message: Geffrey Klein, MD: "Re: Near Term Twins/Delivery Mode--long reply" In reply to: Efrain Ramirez: "Re: Near Term Twins/Delivery Mode--long reply" Next in thread: art fougner, md: "Re: Near Term Twins/Delivery Mode--long reply"

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