Re: 24 week-er

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Mon Jul 10 21:31:21 2006


FWIW, one of my hospitals, Northside in Atlanta (17K deliveries/year, all private) has a specific form that must be filled out by the attending OB for anyone in this age range.

It specifies:

EDC as assigned by the Ob (to avoid confusion)

The DATE the gestation hits 24w0d--and on that date, resuscitation occurs unless a Neonatology consultation has happened and there is a reason NOT to (e.g. lethal congenital anomaly)

Between 23w0d and 23wd6, also specified on the form, there must be a plan to resuscitate or not, and generally this involves a Neonatology consult and note.

All in all, this is a good idea.

Garry

At Mon, 10 Jul 2006, Babycatchers@aol.com wrote: >
>Yes, it is big for those dates. The heart rate, cry and weight all put her
>dates off. Eyes were not fused either, so that put the baby over 24 weeks-
>usually.
>This has the whole unit in an uproar and the administration is not helping.
>That is why I asked.
>
>Vicki Smith, CNM, MSN
>West Virginia
>Midwives- changing the world one baby at a time.

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA




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