Re: Within or outside the standard of care - Long

From: Paul Prior MD (pprior@clover.net)
Tue May 29 20:47:10 2001


On Tue, 29 May 2001 07:29:00 -0500, evsono@pipeline.com (art fougner, md) wrote:

>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.

I have assumed that part of the complaints voiced so vocally from some stem in part from their assumption that inductions will increase the c/s rate. Thus my comment that instead of measuring a surrogate marker, measure the real outcome in which one is interested.

In the end, IMO, only the following matter: morbidity/mortality (both maternal and fetal), patient satisfaction, and cost of delivery.

--
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




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