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Richard Chudacoff, MD
-----Original Message-----
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Paul Prior
MD
Sent: Wednesday, December 27, 2000 11:15 PM
To: Multiple recipients of list OB-GYN-L
Subject: Re: OB: Family in the LDR and the poop hits the fan
On Wed, 27 Dec 2000 22:00:51 -0600, garrys@mindspring.com (Garry
Siegel) wrote:
..deleted...
>Next time, when I see that I'm going to have a difficult and/or lengthy
>repair, I think that I'm going to ask the family to leave, even if it is
>a husband (hmm. . .), under the guise that we are "operating", and
>that we don't have visitors in operations. I think that the family
>knowing nothing beats is better than them seeing what can be
>misconstrued, and they've already been there for the birth.
I usually do, in part because often nurses are bringing in other
equipment and I can't count how many times some relative has
contaminated my table (and that's just the ones I know about...).
Baby is out, send them along with the baby to the nursery window and
get to work. I let husband stay (though usually encourage him to
accompany baby to nursery as well, but some do stay), but ask him to
stay up top away from my table. Haven't had any big problems with
this approach.
>This is the first time I've ever felt that I needed to ask family to
>leave, and regret not having done so.
>
>What do others think and do?
>Would you fire this patient at 6 weeks? I don't feel inclined to, as I
>think it will generate ill will.
Doesn't sound like -she- is the problem. Maybe mom will settle down
once the situation is a bit more stable, she may have just been taking
out her frustration on an easy target - you. Treat the patient with
kid gloves and hope mom turns her anger elsewhere.
>I am not inclined to communicate with the mother again, as I have no
>duty to her.
Absolutely.
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Actually I would be interested in people's habits with regards to the
following:
answers are:
a - everyone stays and video is fine (all other, no video)
b - let everyone stay
c - let only husband/FOB stay
d- let nobody except patient stay
1) Vaginal delivery, likely fetal distress
2) After delivery of head, shoulder dystocia is noted
3) Routine operative vaginal delivery for arrest of 2nd stage
4) operative vaginal delivery for fetal distress
5) routine 3 or 4th degree repair.
6) extensive vaginal repair as described above
personally for me it's
c
b
c
b
c
--
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