Re: IUFD Management
From: Efrain Ramirez (eramirezt@coqui.net)
Tue Jun 1 19:44:37 2004
Agree - I saw today the patient I saw with an IUFD -- later delivered
without complications - she was very grateful .... time is the 4th
dimension...
It has been my experience with MY patients that a 2-3 days is enough --
ie depending on gestational age --
>>At Mon, 31 May 2004, Steve & Eryl Raymond wrote:
>
>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
>> *************************************************
>
>> *************************************************
--
"The opposite of a correct statement is a false statement.
But the opposite of a profound truth may well be another profound truth."
Niels Bohr (1885 - 1962)
