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Re: Kick Counts - Stillborn Rate From: Andrew Folley (agfolley@hotmail.com) Mon Dec 19 17:22:34 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: GA12L@aol.com: "Re: Not really Kick Counts" Previous message: GA12L@aol.com: "Re: Birthday greetings for the 20th December" In reply to: Don Miller: "Re: Kick Counts - Stillborn Rate" I bet all of us have had at least one patient with a stillborn who weears the baby was moving in the past 24 ho9urs only to find it had been dead several days. Particulary with the Primips? >From: drmiller@enatal.com (Don Miller) >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >Subject: Re: Kick Counts - Stillborn Rate >Date: Sat, 17 Dec 2005 11:01:32 -0600 > >At Sat, 17 Dec 2005, Richard Chudacoff wrote: > > > >I do kick counts on EVERY patient starting at 28 weeks. EVERY patient. I > >have not had a pregnancy loss after 28 weeks since 1990. > >That's interesting, but anecdotal and NOT evidence-based medicine (and >I'm sure you know that). > >In 2000, there were about 13,500 stillbirths after 28 weeks in the U.S. >compared to about 4 million live births that year which means that a >stillbirth might be expected every 300 live births. I guess it depends >on your yearly obstetric volume over those 15 years whether this is just >a lucky statistical quirk, or whether your interventions worked >effectively and whether you've found a discriminator that identified the >need for further intervention from all those hundreds of false positives >that I experienced in practice. > >Have you considered that your smile was what actually prevented those >stillbirths? There's just as much evidence for that ;) > >-- >Donald W. Miller, Jr., MD, FACOG >eNATAL, LLC >http://www.eNATAL.com Next message: GA12L@aol.com: "Re: Not really Kick Counts" Previous message: GA12L@aol.com: "Re: Birthday greetings for the 20th December" In reply to: Don Miller: "Re: Kick Counts - Stillborn Rate"

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