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Re: c/s rate and midwives From: art fougner, md (evsono@pipeline.com) Tue Mar 6 19:50:15 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: SAB and quant" Previous message: Joanne Bulley: "Re: update on superfetation vs severe IUGR" In reply to: Betsy Hyde: "Re: c/s rate and midwives" Next in thread: Eberhard W Lisse: "Re: c/s rate and midwives" Reply: Eberhard W Lisse: "Re: c/s rate and midwives" well, Betsy, from the gist of the posts - that's exactly what's happening. and for the OB's it's in reverse. what is happening with many is that if the OB is covering a midwife or FP who is not formally associated with the group, then his/her denominator is not including the deliveries of those referring. not only is this unfair but it begs the real question - again, why is section rate an outcome measure? art At Tue, 6 Mar 2001, Betsy Hyde wrote: > >At 5:47 PM 3/6/01, Paul Prior MD wrote: > >>Amazing that every midwife I've ever worked with also had a 0% c/s >>rate.... >> >well, that shouldn't be, and I'm amazed that this is becoming such a >difficult concept to get through to folks. > >Each midwife (of FP) should count c/s for women in her/his care during >labor. *no* one who attends laboring women has a c/s rate of 0! > >c/s rates reflect judgement and management. consultation and transfer of >care for dysfunctional labor *does* occur. And midwives (and FPs) should >include this in their c/s rates. > >-- >Betsy Hyde CNM >Branford, CT > -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: art fougner, md: "Re: SAB and quant" Previous message: Joanne Bulley: "Re: update on superfetation vs severe IUGR" In reply to: Betsy Hyde: "Re: c/s rate and midwives" Next in thread: Eberhard W Lisse: "Re: c/s rate and midwives" Reply: Eberhard W Lisse: "Re: c/s rate and midwives"

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