Re: A new poll!

From: William McIntosh (williammcintosh@msn.com)
Tue Mar 20 21:25:24 2001


First B, and then F!

--
William D. McIntosh, MD, FACOG
Clarksville, TN

>----- Original Message ----- From: "Caitlin Cusack MD" <Caitlincusack@yahoo.com> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@mail.medispecialty.com> Sent: Tuesday, March 20, 2001 2:53 PM Subject: A new poll!

> The list has been a sorry disappointment today-I keep logging on and > there's nothing to read! > > so-in order to try and generate some discussion-I'd like to know what > people would honestly do if put in the following situation: > > I came on for call at 7:30 and was left a G2P1 insulin requiring > gestational diabetic at 38 weeks being induced because of the GDM. Good > dates-but only 38 weeks, no tap. Fetal testing has been normal. So no > maternal or fetal indication for early induction. Prior section for > failure of descent 7lbs 2 oz-pushed for 3 hours. Pt feels this baby is > bigger, u/s shows EFW about the same. Unfavorable cervix, pitted all > day the day before, some contractions, no change in her cervix, baby not > well in the pelvis. Off of pit over night, when I came on in the am she > had been back on pit for a couple of hours for day two of her VBAC > induction. > > Here's another poll! Honestly would you: > 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 Cusack >





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