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Re: 'How childbirth went industrial'From: Betsy Hyde (elishyde@mindspring.com)Sat Oct 14 09:06:11 2006
On Oct 14, 2006, at 9:09 AM, Andrew Folley wrote:
> We are definitely moving away from the art and craft of medicine to A concern of mine is the exponential increase in c/s due to over- reading of the fetal monitor strip. Despite the fact that 99% in our institution have been certified in EFM, the residents (in particular) have absolutely no tolerance for anything other than a totally reactive strip without any decels. I'm sure part of this is due to fear of liability, but we are sure doing a lot of sections for babies with 9/9 apgars due to "non-reassuring fetal heart rate." I am convinced that the payoff will be increased accreta/percreta and increased uterine rupture.
-- Betsy Hyde CNM Branford, CT
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