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US OB's beware!From: Anna Meenan, MD (annam@uic.edu)Sat Sep 18 00:57:24 2004
Heard today from one of my partners that the hospital where we deliver has been ordered by JCAHO that there must be someone capable of doing a c-sec IN HOUSE during all inductions or the L&D unit will not be accredited. Apparently it is in response to a maternal death post-c-sec that had nothing to do with the fact that the labor had been induced, and nothing to do with the decision-to-incision interval. I have not reviewed the case myself, but this is what I have heard from reliable sources who have reviewed the case. Has this happened anywhere else that anyone has heard? Is it even LEGAL? Currently an FP can induce with permission via telephone consult with a back-up OB who can initiate a c-sec within 30 minutes. A third-year FP resident is in-house during the induction.
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Anna Meenan, MD, FAAFP
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