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Re: A new poll! From: Efrain Ramirez (eramirez@icepr.com) Tue Mar 20 16:37:15 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ainsron@msn.com: "Re: Interesting cesarean section" Previous message: Efrain Ramirez: "Re: Interesting cesarean section" In reply to: Caitlin Cusack MD: "Re: A new poll!" Next in thread: ainsron@msn.com: "Re: A new poll!" who is uncomfortable -you or the patient - or both? You can always tell her that the current situation makes waiting a week or so ,perhaps, a better option - the truth. At Tue, 20 Mar 2001, Caitlin Cusack MD wrote: > >>I want to know why the induction. Is it "standard" to deliver >>insulin-requiring DM patients to be delivered at 38 weeks? > >Pt was a true gestational diabetic-she'd had GDM with her last >pregnancy, tested for diabetes in between-so no she did not need to be >delivered early. No fetal or maternal reasons for the induction. I >think the reasoning here was that if she got delivered earlier than last >time she might have a successful vaginal delivery. However, doesn't >meet ACOG criteria for elective induction and GDMs can take longer for >lung maturity. Given her prior indication for a section and her current >cervical status I never would have offered her an induction at any >point-even if she were 39+ weeks. I'm always curious about what others >do when handed a patient mid-plan when that plan is one they are >uncomfortable with... > >-- >Cait Cusack > -- "Life is neither the notes nor the silence between the notes, but the music that arises out of sound and silence felt as a living whole. Stop choosing...between chaos and order, and live at the boundary between them, where rest and action move together..." David Whyte Next message: ainsron@msn.com: "Re: Interesting cesarean section" Previous message: Efrain Ramirez: "Re: Interesting cesarean section" In reply to: Caitlin Cusack MD: "Re: A new poll!" Next in thread: ainsron@msn.com: "Re: A new poll!"

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