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Re: Cord pH - Malpractice questionaire From: Garry E. Siegel, M.D. (garrys@mindspring.com) Wed Jun 27 19:55:25 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Ob: Threatened Ab" Previous message: Garry E. Siegel, M.D.: "Re: Malpractice questionairre" In reply to: Bernard Cristalli: "Cord pH - Malpractice questionaire" Next in thread: ljmidwife@aim.com: "Re: malpractice questionnaire" Bernard: Well said. Dan and others make good points, and I do clamp the cord for a segment if I have any suspcicion, but don't if the baby comes out screaming (unless it was meconium, bad strip, bad vibes, etc.). I sure like to have a pH of 7.0 or 7.1 or greater in my charts--can't hurt! Garry At Wed, 27 Jun 2007, Bernard Cristalli wrote: > >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. >> -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Garry E. Siegel, M.D.: "Ob: Threatened Ab" Previous message: Garry E. Siegel, M.D.: "Re: Malpractice questionairre" In reply to: Bernard Cristalli: "Cord pH - Malpractice questionaire" Next in thread: ljmidwife@aim.com: "Re: malpractice questionnaire"

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