Re: IUFD Management

From: Joanne Bulley, MD (islesannie@yahoo.com)
Mon May 31 08:01:20 2004


I agree with you 100%

I have always thought it best to go home - grieve with relatives and then come back in for the induction etc.

But ... by the time I left the big group and went solo in 98 and stopped OB -- it was difficult to convince anyone to wait. The younger partners were like the colleags of your who rushed into the induction thing.

Instant Gratification - ingoring the emotions - until a later date and then go into counselling and then be mad at the docs who "forced" you into induction without time for grieving.

Joanne

At Sun, 30 May 2004, RModugno@aol.com wrote: >
>Recently managed a patient for a colleague - was on call and he was out of
>town. Patient with an IUFD at 28 weeks diagnosed by his CNM. Immediately
>brought into the hospital for induction of labor.
* >In the so-called "bad old days", we allowed patients to go home, gather
>their thoughts, grieve with family and friends and then bring them in to the
>hospital to induce labor.
>I think this case is a symptom of our Mc Donald's Drive -Thru society, where
>people expect things to happen immediately, if not, some thing is "wrong",
>and they get upset, and not infrequently, it is the health care provider who is
> "blamed " for this.
>Any thoughts?
>Robert Modugno MD MBA FACOG
>Marietta, GA
>http://www.novaobgyn.yourmd.com

--
Joanne Bulley, MD
Keene, NH, USA




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