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Re: No Guts Not Glory, was Re: Open Mind, Brains Fell Out (was Re:From: Garry Siegel (garrys@mindspring.com)Sat Apr 21 16:50:47 2001
I've enjoyed this whole thread, and I'm coming in a bit late. Whoever pointed out that what we do is art and science is, of course, correct. Induction for macrosomia doesn't work, says the science; the art is that if you have a patient with a favorable cervix near term, and you choose to induce, you hopefully have the clinical acumen to apply the art of medicine to make a decision. In this case, you have a feeling that an induction will be successful, easy, and convnenient--and if you are skilled at what you do, you'll be right. Inducing primigravidas or VBACs with unfavorable cervices to enhance the chances of a vaginal delivery due to suspected macrosomia or "the baby's getting bigger" leads to an increased section rate. Dr. Joe, I'm hoping that your predicted C/S rate of 60% leads to job security for the 40-something and up males Ob/Gyns on this list :). Garry
-- Garry E. Siegel, M.D., F.A.C.O.G. Roswell, GA Private Practice
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