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Re: Amnioinfusion From: Joanne Bulley, MD (islesannie@yahoo.com) Thu Jan 31 19:26:15 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley, MD: "Re: Pessary" Previous message: Ricardo Savaris: "Re: malpractice case (long) - facts" Touche`! A number of us are old enough to have be4en there for all you say! Joanne At Wed, 30 Jan 2002, Richard D. Kaplan wrote: > > Meconium aspiration (MAS) is a rare and horrible complication. As a >resident we were told that, under stress, the fetus would gasp in utero and >therefore we were encouraged to do a Cesarean at the very first sign of FHT >changes. Then a study came out of Denver that suggested that DeLee suction >on the perineum would decrease MAS. Then it was advocated that endotracheal >suction of the fetus before it had a chance to cry. Then it was >amnioinfusion. I hate to sound like an old fart but I'm not sure anyone >will be able to prove that any of these interventions are truly beneficial. > > The problem is that once they become "routine" or standard of care you >are screwed if the baby gets MAS and you didn't do what everybody else is >doing in your hospital. > >Richard Kaplan, MD >Greensboro, NC -- Joanne Bulley, MD Keene, NH, USA ~*~ let there be peace on earth and let it begin with me ~*~ Next message: Joanne Bulley, MD: "Re: Pessary" Previous message: Ricardo Savaris: "Re: malpractice case (long) - facts"

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