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Re: Cerebral Palsy From: art fougner, md (evsono@pipeline.com) Wed May 28 11:09:47 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: Hormone-Taking Is Linked to Dementia" Previous message: Braun, R. Daniel: "RE: WHI :  Homones and Stroke Risk" In reply to: Dr. Ainsworth: "Cerebral Palsy" Next in thread: Richard Chudacoff, MD: "Re: Cerebral Palsy" and that is precisely the hidden cost of medical care - the countless tests, office visits and treatments prescribed not for any health value to the patient but to protect the doctor should a lawsuit arise. the most cogent argument yet for tort reform in the US. just my opinion - i could be wrong. art At Wed, 28 May 2003, Dr. Ainsworth wrote: > >A recent ACOG update tape is on this topic and gave a lot of food for >thought, pointing out that only 5-15% of the cases of CP can be >attributed to intrapartum events. One statement caused me trouble in >justifying the recommended mode of delivery. One of the discussants >stated that the risk of an adverse event occurring intrapartum during >induction of a severely IUGR infant (<3%) and development of CP was so >high, he would go directly to C/S and avoid attempted induction. The >implication was that the risk of CP was in the range of 50x greater for >that infant and in order to avoid the risk of vaginal delivery and being >seen as the cause of that case of CP, a C/S was preferrable, even though >they felt CP was caused by events antecedent to labor. So basically, >you tell the mother: " I believe your baby has irreversible brain >damage, related to IUGR and although I don't think a C/S will give you a >better baby, we need to deliver you by C/S in order to avoid a law >suit." -- art fougner, md ich bin ein New Yorker Next message: art fougner, md: "Re: Hormone-Taking Is Linked to Dementia" Previous message: Braun, R. Daniel: "RE: WHI :  Homones and Stroke Risk" In reply to: Dr. Ainsworth: "Cerebral Palsy" Next in thread: Richard Chudacoff, MD: "Re: Cerebral Palsy"

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