Re: 66% Induction Rate

From: Steve & Eryl Raymond (eryl@intekom.co.za)
Wed May 30 07:02:55 2001


Of course it should be looked into. There is usually a reason why patterns of practice evolve, usually they are based on medical evidence about what procedures have the lowest risk. If somebody falls outside of the range of usual practice of his peers, then either he has found out something the others haven't; his practice population (case-mix) is significantly different from the others; or he is practising high risk procedures which other doctors would avoid.

In order to avoid picking on an individual and thus risking shouts of persecution, look at all inductions prospectively for a period of time and make some comparisons and assessments on how many are medical and how many are not.

stray

mark decker wrote:

> pretty much exactly the question - just not directed at this one doc
> - as it seems people think the focus is on the one doc - it is not my
> main question at all..
>
> while he has the 66% induction rate - that IS NOT the issue -
> the issue - or more accurately the question is..
>
> does this rate <one individual or many> lead to higher morbidity -
> complications etc for mom and baby?
>
> if not - not so bad..
> but still - if it does not reduce risk either -...???
>
> does the list really feel it is perfectly ok to induce at say 66 or
> 75% or 100% if there is no benefit?
>
> is it really ok to have a rate of induction >50% if it does not lead
> to reduced risks and better outcomes?
>
> cost of induction over spontaneous labor?
> risk of suit if a maloccurence presents itself?

Dr.S.H. Raymond Head of Department of O & G Empangeni Hospital South Africa 3880 Phone: (+27) 35-7721111 Fax: (+27) 35-7922596





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