-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: 36+ weeksBHC vs early labor From: David Rivera (cuurmudgeon@sbcglobal.net) Sun Jun 12 17:57:00 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: David Rivera: "Re: Postdates was Reality OB" Previous message: RModugno@aol.com: "Re: Out-Patient Cytotec" In reply to: Garry E. Siegel, M.D.: "Re: 36+ weeksBHC vs early labor" Next in thread: David Rivera: "Re: 36+ weeksBHC vs early labor" Agreed but there are always options, sometimes ones others would look at with raised eyebrows. You induced the athlete's wife at 37 weeks. Why not an irritable woman at 36 weeks? Much depends on the situation and one's comfort level. Should that woman have been induced if the morphine didn't stop her contractions and she was threatening to sue you and kill her husband (and not necessarily in that order)? My favorite and most aggravating answer: "It depends." "Garry E. Siegel, M.D." <garrys@mindspring.com> wrote: David: Of course, 36 weekers don't go to ICU often. Furthermore, a patient arriving in labor at, say 35 or more weeks, is likely going to deliver, and we have no business even trying to stop it, and I don't. My comments about prematurity should make clear that I don't feel treating preterm labor past 35 weeks has any value, and not a whole lot between 34 and 35 (though Dr. Fuentes may be making a case to treat preterm contractions BEFORE they progress to preterm labor, which would be a 180 degree turn). This patient that Lenora presented isn't clearly in labor, and that's the difference to me. There is no reason to put her into labor, and yes, I've heard the patients complain if you don't do what they think is obvious. First, do no harm :). Garry At Sun, 12 Jun 2005, David Rivera wrote: > >How often have you seen a 36 weeker in NICU? What would you do if she arrived in labor at the same gestation? Again, we didn't get torqued about 35 weekers until you youngsters started getting queasy over anyone under 38 weeks. > >DAR > >"Garry E. Siegel, M.D." wrote: >Robert: > >How can you justify your actions? How could you defend things if the >baby went into NICU and required invasive treatment due to prematurity? > >Garry > >>Put her out of your misery - pitocin/AROM >> >>Robert Modugno MD MBA FACOG >>Marietta, GA > >-- >Garry E. Siegel, M.D. >Private Practice >Roswell, GA > -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: David Rivera: "Re: Postdates was Reality OB" Previous message: RModugno@aol.com: "Re: Out-Patient Cytotec" In reply to: Garry E. Siegel, M.D.: "Re: 36+ weeksBHC vs early labor" Next in thread: David Rivera: "Re: 36+ weeksBHC vs early labor"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Jul 2 04:40:17 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.