Re: 17 Minute Rule
From: Dean Huffman (jth@springnet1.com)
Sat Apr 21 21:24:12 2001
..
Legally, there is no "17 minute rule" that I can find. I have searched all
the appellate courts, state and federal, and cannot find any mention of
such rule. If and when an appellate court wishes to issue such a rule, then
there WILL be a "17 minute rule". At that point, it will make no difference
whatsoever whether the medical literature accepts such a rule, or not, or
whetherer such a rule is reasonable, or not. It will be a legal fact of
life, at least in that jurisdiction, unless it is changed by a higher court
or by a subsequent case.
Medically, the 17 minute rule is mentioned in the American Journal of
Obstetrics & Gynecology about five or six years ago. I have a copy of the
article on file and can provide it for you if you wish.
In sum, there are two sets of rules. One is a legal rule, which, as best I
can tell, has not yet been established. The other is a medical rule which,
as best I can determine, has been mentioned only once in a peer reviewed
journal, about five or six years ago. It may well have been mentioned in
other journals such as Contemporary OB/GYN.
--
Dean Huffman
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Re: 17 Minute Rule
From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com)
Wed, 14 Feb 2001 15:38:06 -0600
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There is not '17-minute rule.' There is only with or without perinatal
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morbidity.
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Richard Chudacoff, MD
-----Original Message-----
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Dean
Huffman
Sent: Wednesday, February 14, 2001 2:27 PM
To: Multiple recipients of list OB-GYN-L
Subject: 17 Minute Rule
..
Regarding the "17 minute rule", I have searched the entire federal and
state legal database in WestLaw and I can find no mention of the "17 minute
rule" in any appellate cases. The search was done about two months ago. If
anybody has a more recent search and has found an appellate reference to
the 17 minute rule, please let me know.
Dean Huffman, M.D.
Perinatl@bigfoot.com
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Re: VBAC, immediate availabilty and change in hospital policy
From: ainsron@msn.com
Sun, 11 Feb 2001 19:23:51 -0600 (CST)
Several posts dating back to 1997 regarding this topic, here is the most
concise one: The "17 minute rule" is mentioned in Bruce Flamm's excellent
editorial "Once a Cesarean, Always a Controversy" in Aug 97 Green Journal
(Obstet Gynecol 1997;90:312-5). He states, "A large study (19) on uterine
rupture found that no infants had significant perinatal morbidity when
delivered within 17 minutes of the onset of a prolonged deceleration." The
reference on this large study is Leung et al, Am J Obstet Gynecol
1993;169:945-50.
One further note is needed, apparently this study only had seven patients
and the only one that had problems was outside of the 17 minute cut-off,
ergo what some have called the 17 minute rule. I doubt you are truly brain
dead, but if we aren't careful and speedy, apparently our patients might be.
>Must have been brain dead at the time - but what is the 17 minutes about?
>
>Robert Modugno MD MBA FACOG
>Marietta, GA
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Ronald E. Ainsworth, MD
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