-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: A new poll! From: Garry Siegel (garrys@mindspring.com) Tue Mar 20 17:58:52 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: RModugno@aol.com: "Re: Loved her to death...." Previous message: Paul Prior MD: "Re: Loved her to death...." In reply to: Caitlin Cusack MD: "A new poll!" Next in thread: Betsy Hyde: "Re: A new poll!" At Tue, 20 Mar 2001, Caitlin Cusack MD wrote: > >a) Continue as is >b) Turn off the pit and send her home. >c) Tap her to at least document lung maturity >d) Turn off the pit and try a foley >e) Section her as she is not a great VBAC candidate >f) Have a discussion with your partner.... > >Just hoping to get this list going again for the day-it's been far too >quiet! Cait: Great case to discuss group politics. Robert is on the money--partners need to talk. I was solo a long time, and formed a group 4 years ago. I learned that if my plans for a patient will potenitally impact one of my partners, and if it is not a slam-dunk (39 weeks, P0, 150/100 with proteinuria), to call him/her. It is suprisingly easy to tell the patient that you are thinking about inducing/sectioning/ripening/etc. her, but that you need to discuss it with your partner, and call her later or set up things at the next visit. (For instance, I saw a 41 week primip yesterday with a cruddy cervix, and I'm not on call this coming weekend. I could order testing and sit tight until next Monday (she'll be 41+4 then), or induce this week. So, I told her I needed to call my partner, and did so, and we set the plan. It also allowed me to check and see what else was "on the books"--two other inductions for that Monday.) With respect to the decision to deliver this GDM on insulin at 38 week who is a VBAC: 1. She doesn't need delivery now without proven maturity, but she doesn't need delivery now anyway. 2. If you wanted to deliver her (reasonable at 39 on insulin, IMHO, without an amnio, or 38 with maturity), and she is a VBAC/Insulin requiring GDM/cruddy cervix--sounds like a section to me. Garry -- Garry E. Siegel, M.D., F.A.C.O.G. Roswell, GA Private Practice Next message: RModugno@aol.com: "Re: Loved her to death...." Previous message: Paul Prior MD: "Re: Loved her to death...." In reply to: Caitlin Cusack MD: "A new poll!" Next in thread: Betsy Hyde: "Re: A new poll!"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Dec 2 04:49:49 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.