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Re: IUFD Management From: Steve & Eryl Raymond (eryl@intekom.co.za) Mon May 31 13:25:10 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Steve & Eryl Raymond: "Illinois House Rejects Malpractice Bill" Previous message: Braun, R. Daniel: "Re: IUFD Management" In reply to: Kaycnm@aol.com: "Re: IUFD Management" Next in thread: Braun, R. Daniel: "Re: IUFD Management" The attitude that an IUD should be dealt with is a good example of the bad paternalistic attitudes that were so rightly criticised in the 70's an 80's by women's rights groups. It is absolutely forbidden in my department to do anything with an IUFD until all the details have been discussed with the patient and in particular emphasising the need to think about the possibility that one needs to have time to come to terms with the loss of the baby. I usually encourage them to go home for a week and return to discuss it further, and I also tell them that I do not want to do anything based on medical need for 6 weeks. Any other way of handling this is unfair and fails the patient - we should be the dispassionate professional giving the best advice and to fail to tell them about the grieving process is inadequate. Steve Kaycnm@aol.com wrote: > In a message dated 5/30/2004 10:16:25 PM Eastern Daylight Time, > RModugno@aol.com writes: > > 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 try very hard to advocate for this. Occasionally I am overruled by my > back-up, occasionally by the family themselves. But I totally agree > that an uncomplicated IUFD should never be presented as an emergency. > When this happens, the I have the overwhelming feeling that the process > sort of "robs" the woman; pulls the offending fetus out and disposes of > it quickly so everyone can "get it over with." It denies a valuable > process for the woman and her family. > > Kay Johnson, CNM > Atlanta, GA > ************************************************* > Life is too important to be taken seriously. > Oscar Wilde > ************************************************* Next message: Steve & Eryl Raymond: "Illinois House Rejects Malpractice Bill" Previous message: Braun, R. Daniel: "Re: IUFD Management" In reply to: Kaycnm@aol.com: "Re: IUFD Management" Next in thread: Braun, R. Daniel: "Re: IUFD Management"

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