Cord pH - Malpractice questionaire

From: Bernard Cristalli (bcrist@club-internet.fr)
Wed Jun 27 14:00:38 2007


Totally agreed Dan, no use in treatment. But... It's an "a posteriori" defencive action. If the pH is not < 7.00, and/or base deficit ≥ 12 mmol/L, nothing severe occured to the baby during the labor and a cerebral palsy couldn't be attributed to you. See the 4 essential criteria all 4 necessary to consider hypoxia the etiology of cerebral palsy. ACOG Task Force on Neonatal Encephalopathyand Cerebral Palsy (2003)

R. Daniel Braun a écrit : > What do you do diferent in the treatment of either the Mother or the
> baby based on the blood gas results? If nothing, the test is worthless
> and unwarranted.
> Dan
>
> On 6/27/07, *Henry Gregor* <henrygregor@yahoo.com
> <mailto:henrygregor@yahoo.com>> wrote:
>
> I agree with Ef...for all the stress and responsibility ob's bear
> for each delivery until that child reaches legal majority, it's
> money well spent. I've seen several cases of obs and peds getting
> stung with a suit seven to twelve years down the line, and in each
> instance that I interacted with any of the involved docs, there
> were regrets expressed about not having done some things that
> would have been to their advantage later down the line. It's
> sorta' like an automotive seatbelt...cars would cost less if that
> protective device weren't added to each one made, but when you
> need one and benefit from it, its pretty cheap equipment and money
> well spent. Placental path falls into the same category, IMO.
>





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