Re: 41 week Induction
From: Andrew Folley (agfolley@hotmail.com)
Fri Dec 2 16:17:32 2005
Midwives are inducing 41 week primip tonight. this is her second or third
day of induction with cytotec and cervidil at night. Remains closed long
vertex. I am involved tonight as the 24 hour in house doc. To complicate
matters the patient weighs a wopping 326 pounds.
If she were my patient in private practice I probably would send her home
and monitor closely and wait for labor to start and pray tha one of my
partners would be on call when she comes back in labor.
I am going to check her for the first time in a few hours I am thinking
laminaria or AROM ASAP and foley catheter ripening. I don't mind doing the
c-section but I just see the potential for post op problems with her. I
would like to maximize her chances for a vaginal birth. Please give me some
ideas. andy
to a country that did not practice
>>along those
>> > > > same lines?
>> > > >
>> > > > It is that way in at least a few of our host nations where our
>>service
>> > > > women and dependants are seen. Should that be seen as a breech of
>>US
>> > > > standards, or just being assimilated into their culture and
>>practices
>> > > > and deemed an acceptable risk as we are in their country?
>> > > >
>> > > > Glen
>> > > >
>> > > > ________________________________
>> > > >
>> > > > ________________________________
>> > > > From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
>> > > > Raymond Stephen
>> > > > Sent: Wednesday, November 30, 2005 1:17 AM
>> > > > To: Multiple recipients of list OB-GYN-L
>> > > > Subject: RE: Dr.Klein, where are you
>> > > >
>> > > > The difference between obstetrics in the USA and that in Britain
>>comes
>> > > > down to a fundamental difference in the organisation of medicine in
>>the
>> > > > two countries - socialised medicine (the NHS) and capitalist
>>medicine.
>> > > > Despite all its faults the NHS allows for an integration of
>>obstetrics
>> > > > into a model which covers all needs under one organisation. The
>>thread
>> > > > about GBS highlights the fact that different societies have
>>different
>> > > > rates of Streptococcal colonisation, and what is appropriate in one
>> > > > country is not in another.
>> > > >
>> > > > Steve
>> > > >
>> > > > ________________________________
>> > > >
>> > > > ________________________________
>> > > > From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
>>Henry
>> > > > Gregor
>> > > > Sent: Wednesday, 30 November 2005 12:02 PM
>> > > > To: Multiple recipients of list OB-GYN-L
>> > > > Subject: Re: Dr.Klein, where are you
>> > > >
>> > > > Amen! Clearly Zach is correct in noting the degradation of this
>>topic to
>> > > > trivial responses, which is not the same as saying the thread topic
>>is
>> > > > trivial. However, it is an apples and orange thing to compare
>>practices
>> > > > from two different venues w/o noting (albeit sadly, no doubt) that
>>what
>> > > > occurs in one place or the other is not free of the cultural, legal
>>and
>> > > > other sociological factors that impact on the process. Gosh, I'd
>>like to
>> > > > do midwifery in GB, with a social compact society that accepts both
>>the
>> > > > advantages and any possible disadvantages inherent to the process.
>>For
>> > > > the many reasons noted earlier, that practice model doesn't work
>>here.
>> > > > To say folks should work for change is admirable, though it is not
>> > > > gonna' happen...perhaps we should all think "Serenity Prayer"
>>here..as
>> > > > in Lord give me the wisdom to...etc., etc. (I suspect most
>>respondents
>> > > > have no trouble acknowledging the aptness of the prayer.)
>> > > >
>> > > > We might all remember the line re a fa! natic being one who cannot
>>stop
>> > > > talkiing about a subject and who cannot change the subject. Gail, I
>>hope
>> > > > you ultimately do well without your nicotine.
>> > > >
>> > > > Hank
>> > > > RModugno@aol.com wrote:
>> > > >
>> > > > In a message dated 11/29/2005 7:00:47 PM Eastern Standard Time,
>> > > > ricechaz@gorge.net writes:
>> > > >
>> > > > I wouldn't jump to the assumption that anyone posting
>> > > > here is guilty of trivializing our patients problems.
>> > > >
>> > > > Especially Zach Newton!
>> > > >
>> > > > Robert Modugno MD MBA FACOG
>> > > >
>> > > > Marietta, GA
>> > > >
>> > > > ________________________________
>> > > >
>> > > > ________________________________
>> > > >
>> > > > Yahoo! Music Unlimited - Access over 1 million songs. Try it
>> > > > free.
>> > > >
>> > > > .com/unlimited/>
>> > > >
>> > > > Tasmania Together 5 Year Review: Have your say
>> > > > http://www.tasmaniatogether.tas.gov.au/
>> > > >
>> > > > Tasmania Together 5 Year Review: Have your say
>> > >http://www.tasmaniatogether.tas.gov.au/
>> > > >
>> >
>>FREE!
>> >
>
