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Re: 41 week Induction From: Garry E. Siegel, M.D. (garrys@mindspring.com) Sun Dec 4 08:17:50 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: Error Condition --> split infinitive**wikipedia" Previous message: Efrain Ramirez: "Re: 41 week Induction" In reply to: Efrain Ramirez: "Re: 41 week Induction" Next in thread: art fougner, md: "Re: 41 week Induction" Ef hits the nail on the head. It is with trepidation that I send home the young primigravida at, say 40w3d, who has been "contracting" for hours, maybe a day, but really isn't clearly in labor (i.e. 3 to 4 cm. and effaced with regular contractions). Many times, the patient/husband/mother deliver a tremendous amount of direct and implied pressure. Every blue moon, something goes wrong. . .and perhaps things would have been better had you simply kept her and induced her. Garry At Sun, 4 Dec 2005, Efrain Ramirez wrote: > >One of the reasons, besides convenience (for the doctor and the >patient), is fear of litigation. When a patient is on her 40th week a >typical conversation with the patient AND her mother AND her mother in >law would bring up the bad outcomes they have heard because of “waiting >to long” – “fue un parto seco” – it was a “dry labor” - almost no >stories on “bad” outcomes with inductions -- after a lot of explaining – >one more week is accepted – after that… and specially in a multip. – >and with the available data – the question is …why NOT go ahead and >induce? – In the people’s mind – keep on waiting is “doing nothing” – >--inducing one is "trying to avoid bad consequences" – in the event of >an emergency C/S due to “failed induction”, failure to progress or >“intolerance to labor” – the Doc did everything he could … that’s the >way it is – at least down here…. > >Ef > >At Sun, 04 Dec 2005, Dr Eberhard Lisse wrote: >> >>Efrain Ramirez wrote: >>> 41 weeks to me is 40 completed weeks - not 40 + 1 day .. >> >>40 + 1 is 40 completed weeks plus one day = 41 weeks. >> >>> 41 weeks is a reasonable gestational age for induction - (one can wait >>> 2-3 more days on a primip with good BPP) - with adequate dates and/or >>> ultrasound.. >> >>Why is is that roughly 100% of patients walking into some hospitals in >>the US are induced with no discernible imprevement in outcome? >> >>el > >-- >Ability is what you're capable of doing. >Motivation determines what you do. >Attitude determines how well you do it. > > - Lou Holtz > > ~walt whitman~ > -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: art fougner, md: "Re: Error Condition --> split infinitive**wikipedia" Previous message: Efrain Ramirez: "Re: 41 week Induction" In reply to: Efrain Ramirez: "Re: 41 week Induction" Next in thread: art fougner, md: "Re: 41 week Induction"

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