Re: Induction for post term

From: Andrew Folley (agfolley@hotmail.com)
Wed Jun 13 12:35:43 2007


What are you saying, Joe, that there is higher incidence of fetal morbidity and mortaility at 41 than 40 weeks? agf

>From: doctorjoe@aol.com
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: Re: Induction for post term
>Date: Wed, 13 Jun 2007 12:05:32 -0500
>
>Our quality department at level 3 (5000 deliveries per year) hospital is
>trying to reduce number of inductions (currently at 33% of all births ...
>medical and elective). We are trying to cut back on the many, many
>"elective" inductions. Most of the 30-40 ob gyns will regularly induce moms
>at 40+ weeks for "postdate" or "post term". I have argued that although we
>all do this it is really not medically supported and actually is more
>"elective" than medically indicated. I can see at 41 1/2 weeks making
>arguement for medical induction etc. Any thoughts???? 
>
>I don't know why you'd say it wasn't medically supported. Just show them
>the J-curve of neonatal outcome versus gestational age at delivery and let
>them argue THAT down. Picture's worth 1000 words.
>
>Joe P.
>





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