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Re: 24 week-er From: ainsron (ainsron@sbcglobal.net) Tue Jul 18 14:34:43 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ainsron: "Re: Rendering someone amenorrheic" Previous message: Dean Huffman .: "Interesting Information About Protecting Computer Data In Airports, Hotels, etc." In reply to: Efrain Ramirez: "Re: 24 week-er" It's also a situation where it does not hurt to involve the Ethics Committee of the medical staff, if you have one. We have used ours in similar situations. It never hurts to look at these controversial areas from a multi-disciplinary approach. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Efrain Ramirez Sent: Tuesday, July 11, 2006 7:36 PM To: Multiple recipients of list OB-GYN-L Subject: Re: 24 week-er INHO the whole issue is lack of communication - the OB should have talked to the parents before, the neonatology department should have been consulted - straight and compassionate but they make the decision - unfortunately I've been there but it is the only way to do it - BTW - http://www.babycenter.com/general/pregnancy/1290794.html Also - Garry's protocol seems very, very reasonable.. Ef At Mon, 10 Jul 2006, Babycatchers@aol.com wrote: > >I just need an opinion here. >About 2 weeks ago one of our OBs had a 23 week G2P0, _SAB@19_ (mailto:SAB@19) > weeks come in dilated 4 cm with bulging BOW. He put her in trendelenburg >and did a cerclage. A week later she came in with vaginal bleeding and the >suture had torn thru the cervix. The referral center would not take her because >she was 24 weeks. >She camped for several days until her white count went over 26 K with IV >antibiotics and SROM. She delivered about 18 hours later. the baby had a heart >rate over 120 the whole labor and then spontaneously cried at delivery. The OB >did not work the code and documented a 0 apgar at 5 min. The OB nurse did not > hart the baby without a heart rate until almost 2 1/2 hrs later and had the >ER doc come pronounce since the OB wouldn't come back in. The baby was 484 >grams. Spontaneous respirations that lasted at least a couple of minutes. The >ped was on the unit at the time of delivery, but the OB did not call her in or >call the referral center. >I just happened to be there when the heart rate stopped and caught hell from >the ER doc for not working the code. >So- what would you have done? Do you work the code and punt to the >pediatrician? >This was 2 weekends ago and there has already been a lawsuit filed. I am not >involved, but if (God forbid) it happens while I am the only one on the >unit- do I work a code? When I worked at a hosp with a NICU- you always worked if >they cried- regardless of weeks. > >Vicki Smith, CNM, MSN >West Virginia >Midwives- changing the world one baby at a time. -- " The greatest obstacle to knowledge is not ignorance, it is the illusion of knowledge." Daniel J. Boorstin - Historian Next message: ainsron: "Re: Rendering someone amenorrheic" Previous message: Dean Huffman .: "Interesting Information About Protecting Computer Data In Airports, Hotels, etc." In reply to: Efrain Ramirez: "Re: 24 week-er"

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