Re: Preterm labor/transfer

From: Richard D. Kaplan (rkaplan@triad.rr.com)
Wed Jan 31 20:16:32 2001


>----- Original Message -----
From: Richard Chudacoff, MD <rchudacoff@mylinuxisp.com> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net> Sent: Tuesday, January 30, 2001 10:16 PM Subject: Re: Preterm labor/transfer

> EMTALA says you can't transfer her. I think greater than 4 cms is unstable
> for transport.
>
> Richard Chudacoff, MD
>

I find it quite upsetting that a government regulation rather than a qualified physician defines who or what is stable for transport. There are some women who go three weeks at 4 cms. It should be the PHYSICIAN's decision and responsibility to weigh the risk and likelyhood of rapid delivery in transport versus the risk of delivering a preterm infant in a facility that is not well equiped to handle him/her - not EMTALA's.

Richard Kaplan, M.D. Greensboro, NC





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