Re: Within or outside the standard of care - Long

From: Griffiths Malcolm (Malcolm.Griffiths@ldh-tr.anglox.nhs.uk)
Tue May 29 07:27:55 2001


Received: (from nobody@localhost) by mail.medispecialty.com (8.9.3/8.9.3) id HAA01253 for OB-GYN-L@OBGYN.NET; Tue, 29 May 2001 07:27:54 -0500 Message-Id: <200105291227.HAA01253@mail.medispecialty.com> Date: Tue, 29 May 2001 07:27:54 -0500 (CDT) Errors-To: postmaster@medispecialty.com Reply-To: evsono@pipeline.com From: evsono@pipeline.com (art fougner, md) To: OB-GYN-L@OBGYN.NET In-Reply-To: <p3a6htgp6stddd7mts6hieq9gsajnm4l9g@4ax.com> X-Original-Sender: user-2inig4e.dialup.mindspring.com @ 165.121.64.142 Subject: Re: Within or outside the standard of care - Long

how is a c/section rate a better endpoint than induction rate? agree with perinatal morbidity/mortality. in queens ny presently, customer satifaction = no lawsuit and participation in her managed cost plan.

art

At Tue, 29 May 2001, Paul Prior MD wrote: >
>On Mon, 28 May 2001 22:32:38 -0500, mark decker <mdecker@nconnect.net>
>wrote:
>
>>i am starting to do more work in an l & d where one lone ob - so far - has
>>a 66% induction rate this year -
>>decreased fetal movement and the like
>>
>>i am going to ask for prospective induction reviews and not point him out
>>specifically - the ends is best achieved without acrimony -
>>a better rate - better indications for this moment in time and beyond -
>>
>>and i am digging into "average" or usual induction rates -
>>i suspect 15% and no more than 20% would be closer to the right number -
>>and likely more like 10%
>>
>>anyone have data on a low risk population "normal" induction rate?
>
>You may be in trouble there, I think I read somewhere that the overall
>induction rate in the USA was heading towards 40-50%. Can't remember
>the source, but I remember I was shocked how high the number was.
>
>But you know what, perinatal mortality/morbidity/c/s rates and patient
>"satisfaction" are probably better endpoints than induction rates,
>don't you agree?
>
>--
>Paul Prior MD They that can give up essential liberty to obtain a little
>Coshocton, OH temporary safety deserve neither liberty nor safety.
>Solo Practice - Benjamin Franklin, 1759.
>OB/GYN, FACOG
>

--
art fougner, md

A series of 1000 cases begins with but a single anecdote.





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