Re: 66% Induction Rate

From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com)
Wed May 30 07:47:41 2001


The reason I induce so many of my patients is the hospital situation. The main, upscale birthing center here, that most of my patients favor, only has 6 LDRPs, and closes to patient admission at least once a week. If I arrange an induction, my patients get to deliver at the site of their choosing, instead of the tertiary care hospital 10 miles down the road, that has slightly less ambience. Thus, it works well for all concerned. 7AM induction start, 7PM delivery for the most part.

--
Richard Chudacoff, MD

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Paul Prior MD Sent: Tuesday, May 29, 2001 8:54 PM To: Multiple recipients of list OB-GYN-L Subject: Re: 66% Induction Rate

On Tue, 29 May 2001 15:56:42 -0500, mark decker <mdecker@nconnect.net> wrote:

>does the list really feel it is perfectly ok to induce at say 66 or 75% or >100% if there is no benefit?

If there is no increase in morbidity or mortality, no increase in c/s rates (and even this one is arguable) and his patients are happy, then the only real problem comes down to medical resources and costs. Note that I'm not stating that there IS no difference in the items above, but I think there is a growing body of evidence, especially with misoprostol, that this may be the case.

--
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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