Re: Induction protocols
From: Andrew Folley (agfolley@hotmail.com)
Wed Mar 2 13:06:10 2005
Dan
How does your hospital enforce the policy? ie how far in advance does one
call to reserve a day for induction. Dioes L and D keep a log? do you have
strict criteria for inductions to be met? I think our induction rate
(medically indicated and "elective" is about 30% which is alarmingly high.
Andrew
>From: "Richard Chudacoff, MD" <rchudacoff@mylinuxisp.com>
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: RE: Induction protocols
>Date: Wed, 2 Mar 2005 13:41:27 -0600
>
> >"Elective Induction" was defined as done only
> >for the convenience of the physician or the patient.
>
>Sounds like an indication for me :-)
>
>Richard Chudacoff, MD
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of R. Daniel
>Braun
>Sent: Wednesday, March 02, 2005 1:30 PM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: Induction protocols
>
>WE have 16 labor rooms and limit scheduled inductions to 2 per day.
>All are indicated. Some because the patient is a grand multip and 4 cm
>and lives 30 minutes from the hospital. Some are done for 41 weeks. A
>patient in the hospital who has pre-eclampsia that becomes severe gets
>induced at that time and is not included in the scheduled one.
>The last time I looked, "Elective Induction" was defined as done only
>for the convenience of the physician or the patient.
>
>On Wed, 2 Mar 2005 12:38:26 -0600, Andrew Folley <agfolley@hotmail.com>
>wrote:
> > I am looking for advice on induction protocols. Often times our level 3
> > hospitla with 10 labor rooms is swamped with 6-8 elective inductions and
> > primips at 1 cim etc. many pats are admitted off the labor floor the
>night
> > before and given cervidil and transferred to L and D in am. Any ideas
>to
> > remedy this problem? Using oral cytotec? Limiiting # of elective
> > inductions? Starting inductions at night??? No admission until 4
>cim????
>I
> > am looking for some other ways to do things. Thanks Andrew
> >
> > >>Date: Wed, 2 Mar 2005 11:20:28 -0600
> > >>>
> > >>
> >
>
>--
>R. Daniel Braun
> Kinky for Governor
>
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