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Re: early discharge From: igold@cox.net Mon Nov 28 21:11:32 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: jayant shantilal: "Re: early discharge" Previous message: DMECNM@aol.com: "Re: bad babies and BAD day" Maybe in reply to: igold@cox.net: "early discharge" Next in thread: jayant shantilal: "Re: early discharge" All complications, such as pre-eclampsia, previa, abruption, thick or particulate meconium, etc. would have been transferred and not delivered at home. Unforeseeable complications such as shoulder dystocia and postpartum hemorrhage would be left at two hours only if mom and baby were stable (BTW, emergency measures including but not limited to pitocin, cytotec and hemabate for PPH, oxygen, IV fluids, bag mask, laryngoscope and ET tube etc were always with me when I attended homebirths. Lots of families said it looked as if I was moving in I brought so much luggage) If not, I'd stay longer, or transfer if indicated. (Why do people, including my educated colleagues, think that if I did a birth at home I would forget everything I know and have learned, and would practice to a different standard of care?) Ingrid Gold, CNM> From: eramirezt@coqui.net (Efrain Ramirez) > Date: 2005/11/28 Mon PM 05:50:09 EST> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> > Subject: Re: early discharge > > Do you any pregnancy/labor/post partum complications at all? -ie. > mild/severe preeclampsia, HELLP, Abruptio, Placenta previa, shoulder > dystocia, failure to progress, non reassuring fetal status (for whatever > method you use),preterm labor, post partum hemorrhage, meconium> aspiration - any situation at all where you have wished to be in a place > where facilities of the third kind were available? > > Ef> > > At Mon, 28 Nov 2005, GA12L@aol.com wrote: > > > >When I did homebirths, we left at 2 hours postpartum as long as mom and baby were stable. As a CNM I was trained to and did the newborn exam. Occaisionally I'd have a phone call from a nervous mom, but usually I didn't have any contact until I returned to the home between 48 and 72 hours. At that time I did the metabolic screen, and a check up on mom and baby. Ingrid Gold, CNM> >> > >> From: GA12L@aol.com > >> Date: 2005/11/28 Mon PM 12:18:07 EST> >> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> > >> Subject: Re: C/sections on demand > >> > >> In a message dated 28/11/2005 17:01:03 GMT Standard Time, RModugno@aol.com > >> writes: > >> > >> Do you EVER have any re-admissions for any problems? Are they routinely seen > >> by the 'district midwives' postpartum? > >> > >> Very occasionaly mostly for breastfeeding help. The only ones that seem to > >> re admitted with problems are sections but they really are very few and far > >> between. > >> > >> All women are seen by community midwives from the day following discharge > >> for a minimum of 10 days but not every day and a maximum of 28 days but that is > >> changing to amybe 2 or 3 months and will include the midwife doing the 6 > >> week postnatal exam of woman and baby. > >> > >> Gail> >> > > -- > Have the courage to be ignorant of a great number of things, in order > to avoid the calamity of being ignorant of everything. > Sydney Smith (1771 - 1845) > > ~walt whitman~ > Next message: jayant shantilal: "Re: early discharge" Previous message: DMECNM@aol.com: "Re: bad babies and BAD day" Maybe in reply to: igold@cox.net: "early discharge" Next in thread: jayant shantilal: "Re: early discharge"

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