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Re: Within or outside the standard of care - LongFrom: Betsy Hyde (elishyde@connix.com)Mon May 28 20:27:42 2001
> >>For a clinician to reinforce a patient's misconception through 8 or 9 >>months that it really matters WHO actually catches (or cuts out) the >>baby is the epitome of self-aggrandizement. This self-serving >>philosophy does indeed create "social stress" on the part of the patient >>in the event of vacations but is entirely contrived for the benefit and >>ego of the clinician. If we were to follow Don's philosophy, all that would be necessary would be to have doc /midwife assembly lines. Just show up when you are in labor, and we'll "catch" (a term I, personally, find terribly offensive, and one which denegrates the skill with which we can attend births with the least morbidity to mom and babe. Policemen and taxi drivers "catch"...presumably others of us have picked up a few skills along the way.......). Or, perhaps I could start sleeping at night and just let my patients go to the hospital and have the residents "catch". I mean, after all, they are there anyway. Why ruffle my feathers? The original poster has not responded to my question re gestational age, parity and cervical ripeness. I sure can't get terribly excited about a multip with a 3-4cm, fully effaced cervix having an elective induction at term . Perhaps, with an informed discussion with the MD, this is their choice. (now a long, thick, closed primip at 37 weeks is totally different!)
-- Betsy Hyde CNM Branford, CT
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