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Re: Prematurity From: Joanne Bulley, MD (islesannie@yahoo.com) Sun Mar 31 18:28:59 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley, MD: "Re: Leaving ovaries behind during hyst for endometriosis?" Previous message: Mark Perloe: "Re: Leaving ovaries behind during hyst for endometriosis?" In reply to: Len2976@aol.com: "Re: Prematurity" Our Level 3 was about 1 1/4 hours away - and we did work hard to have these discussions - but as both you and Kevin say - it is tough to get them to listen. Then with the "must ask about Advanced Directives" on admission stuff - I recall having this discussiion with a family - and the Pedi and I were supoorting them in their decision to not resuscitate - when the admissions clerk walks in and says you have to tell me if you have the advanced directives etc. There we were in the process of deciding on the "advanced directives" of the unborn but the hospital had to be more worried about the mother's ... Afterwards we were able to chuckle that asking that question when someone is in an advanced stage of labor is likely to get a response of "yes - I even believe in euthanasia - anything to make this end"! Joanne At Sun, 31 Mar 2002, Len2976@aol.com wrote: > >The perinatal center that we transfer our patients in PTL to are very >reluctant to accept patients less than 26 weeks. They insist we first have a >detailed discussion with the parents about the long term outcomes. Sometimes >even after this when the parents still want "everything done" they don't want >to take those they anticipate will deliver a VLBW infant. It puts us all >(including the parents) in a difficult position when there is little time to >make these decisions as the center is about 1 1/2 hrs. away. > >Lenora McCall, CNM -- Joanne Bulley, MD Keene, NH, USA ~*~ let there be peace on earth and let it begin with me ~*~ Next message: Joanne Bulley, MD: "Re: Leaving ovaries behind during hyst for endometriosis?" Previous message: Mark Perloe: "Re: Leaving ovaries behind during hyst for endometriosis?" In reply to: Len2976@aol.com: "Re: Prematurity"

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