Re: Preterm labor/transfer

From: Efrain Ramirez (eramirez@icepr.com)
Wed Jan 31 20:36:13 2001


I totally agree but one must be clear---cristal clear -that there is s defintive medical benefit for both the mother and the fetus - and she must agree with the transfer - IMHO--

At Wed, 31 Jan 2001, Richard D. Kaplan wrote: >

>>----- 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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