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Re: Forceps/VacuumFrom: ainsron (ainsron@sbcglobal.net)Tue Mar 16 14:32:09 2004
Did others challenge his recommendation, or are we expected to simply fall in line? I don't know Devoe or how he practices, but it is not hard to imagine that a attending physician would not have a problem writing a note that he agrees with the house staff's recommendation for forceps delivery, etc., etc, as they are doing the procedure and he watches or sips his coffee at the desk. In the real world, that is not how it flows. Ronald E. Ainsworth -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Lynn D. Montgomery, M.D. Sent: Tuesday, March 16, 2004 11:13 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Forceps/Vacuum At a conference I actually chaired last week, Devoe stated essentially the same thing. A pre-forceps/vacuum note should be written that includes your estimated fetal weight, the fetal position (head orientation and station) and an outline of the consent. He stated as an example a recent case he had "participated in" where if the documentation had been included, the outcome of the case would have been different. Personally, I do the same as y'all. I obtain verbal informed consent, do the procedure and document thoroughly after... Lynn Lynn D. Montgomery, M.D. Maternal-Fetal Medicine, OB/GYN Rocky Mountain Women's Health 2835 Fort Missoula Rd., Suite 303 Missoula, Montana, 59804 406-549-0978 fax 406-549-0987 e-mail: apgar10@montanadsl.net -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of DoctorJoe@aol.com Sent: Tuesday, March 16, 2004 11:10 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Forceps/Vacuum In a message dated 3/16/04 10:00:07, ainsron@sbcglobal.net writes: In my experience, the decision for instrumental delivery occurs in the process of the delivery when I am already scrubbed in. To break scrub to write a note would be a waste of time, especially if I'm doing it because of the development of a non-reassuring FHR pattern and feel that application of the vacuum can deliver the baby in a short period of time. Ditto. Joe P.
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