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Re: who attends the newborn at caesarian sections at your placeFrom: ainsron@msn.comWed Jan 17 22:45:44 2001
We've been doing that for about the last eight years. At the time we changed, we had only one ped and didn't want to burn him out anymore than we needed to. Anesthesia was especially concerned at first, but adapted to the change. Really not much different than having RNs assisting for normal vaginal births. Every once in a while unforseen problems occur, like the one I delivered a week ago by C/S for CPD, baby had no problems in labor, but as soon as delivered he was limp, cyanotic and couldn't be ventilated by mask. The anesthesiologist ended up intubating him as the ped was being paged to the hospital. Turned out he had a large diaphragmatic hernia. Yes, Effrain, I did do cord gases, pH - 7.35. >We are considering having PALS or NALS certified RNs attend our "everything >but fetal distress" caesarians, instead of pediatricians or family >practitioners. > >what are y'all doing? > >Kevin Dew, MD >OB/GYN >Bardstown, KY
-- Ronald E. Ainsworth, MD
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