-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: Interfacility Transport / Active or Preterm Labor From: Myer Bornstein (mborn@massmed.org) Sat Jul 5 08:00:41 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: VBAC revisited" Previous message: Len2976@aol.com: "Re: Interfacility Transport / Active or Preterm Labor" In reply to: Len2976@aol.com: "Re: Interfacility Transport / Active or Preterm Labor" Next in thread: Marilyn Ringstaff: "Re: Interfacility Transport / Active or Preterm Labor" I think the chief of both departments need to get together ands talk on what is appropriate. We have a perinatal committed at our hospital where the Chief of the NICU and the Obstetrician in chief comes to discuss transfers and any other problems, so that they may be resolved amicably on both sides. According to EMTELA the sending facility is the one at risk, they have to decide if the patient is stable enough to be transferred. If we need to section a patient under 32 weeks we always call for the transport team prior to delivery, since it takes up to an hour for them to arrive. Myer -- Myer S. Bornstein, MD, MMM, FACOG, FACPE, CPE -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Len2976@aol.com Sent: Saturday, July 05, 2003 8:33 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Interfacility Transport / Active or Preterm Labor A CNM partner of mine had a patient last week at 28 weeks gestation who presented with a cc of decreased FM for 2 days. FHR tracing was flat and BPP was 2/10. The obstetrician wanted to transfer her to our referring facility (15 min. away) by air. The perinatologist advised an immediate C/S but refused to accept the patient saying they would not take the legal risk of a fetal demise enroute. As our facility started getting ready for a C/S, our nursury and pediatrician called the referring neonatal facility. In the past the team had come to be present for the C/S and take charge of the NB immediately. They also refused, saying the NB should be delivered, initial care given, and then the transport team called. Isnn't this malpractice situation great for the best patient care? Lenora Next message: art fougner, md: "Re: VBAC revisited" Previous message: Len2976@aol.com: "Re: Interfacility Transport / Active or Preterm Labor" In reply to: Len2976@aol.com: "Re: Interfacility Transport / Active or Preterm Labor" Next in thread: Marilyn Ringstaff: "Re: Interfacility Transport / Active or Preterm Labor"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Tue Sep 2 04:59:37 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.