Re: 'There is no gold standard for decision-to-incision time' ???
From: emilio porro (sanbonav@hotmail.com)
Mon Oct 8 13:48:36 2007
I think we must remember (for clinical and medicolegal problems )for
which reason or reasons we do or we don't do a cesarean section that is
a surgical intervention with a minimal but present surgical and
anaesthesiological risk and conditioning obstetrical future of the
patient.
Yours faithfully
Emilio Porro
Como-Italy
http://www.sanbonaventura.com
At Mon, 8 Oct 2007, R. Daniel Braun wrote:
>
>Nor would I, but it wiuld probably be the right thing.
>Dan
>
>On 10/7/07, Raymond Stephen <stephen.raymond@dhhs.tas.gov.au> wrote:
>>
>> In my view, there is rarely an indication to section for a dead baby, BUT
>> informing a mother on the table that her baby is dead and you are not going
>> to proceed with the Caesar after all, is not a situation I would relish!
>>
>> Steve
>>
>> ------------------------------
>>
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>> *From:* ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] *On Behalf Of *R.
>> ------------------------------
>> Daniel Braun
>> ------------------------------
>> *Sent:* Monday, 8 October 2007 10:39 AM
>> ------------------------------
>> *To:* Multiple recipients of list OB-GYN-L
>> *Subject:* Re: 'There is no gold standard for decision-to-incision time'
>> ???
>>
>> If your indication for the section is fetal distress, certainly. You no
>> longer have that indication. Or do you section people for a dead baby?
>>
>> Dan
>>
>> On 10/7/07, *Raymond Stephen* <stephen.raymond@dhhs.tas.gov.au> wrote:
>>
>> So if you find there are no fetal heart sounds as the last person arrives,
>> what do you do then? Stand down the team and allow to deliver vaginally?
>>
>> Steve
>>
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>> *From:* ob-gyn-l@obgyn.net [mailto: ob-gyn-l@obgyn.net] *On Behalf Of *R.
>> ------------------------------
>> Daniel Braun
>> ------------------------------
>> *Sent:* Sunday, 7 October 2007 12:11 PM
>> ------------------------------
>> *To:* Multiple recipients of list OB-GYN-L
>> *Subject:* Re: 'There is no gold standard for decision-to-incision time'
>> ???
>>
>> Question relating to the case presented. How long from last listening for
>> FHT's and incision? It is easy to stand around in the OR waiting for that
>> last member of the team to arrive and then just make the incision when they
>> get there. One should always know whether or not there is a heart beat
>> before making the incision. IMHO.
>> With a one and 5 minute apgar of "0", I find it hard to believe that there
>> were ht. tones present in the last 3-5 minutes befor the incision.
>>
>> Dan
>>
>> On 10/6/07, *Efrain Ramirez* <eramirezt@coqui.net> wrote:
>>
>> There is no gold standard for decision-to-incision time
>> Don't accommodate plaintiff's attorneys who have reinvented an intended
>> guideline as a requirement!
>>
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>> --
>> R. Daniel Braun, MD FACOG(L) CMT
>> Professor Emeritus
>> Dept. of Obstetrics and Gynecology
>> Indiana U. School of Medicine
>>
>> R. Daniel Braun
>>
>> "Science without Religion is LAME; Religion without Science is
>> BLIND"
>> Einstein 1941
>>
>> CONFIDENTIALITY NOTICE AND DISCLAIMER
>>
>> The information in this transmission may be confidential and/or protected
>> by legal professional privilege, and is intended only for the person or
>> persons to whom it is addressed. If you are not such a person, you are
>> warned that any disclosure, copying or dissemination of the information is
>> unauthorised. If you have received the transmission in error, please
>> immediately contact this office by telephone, fax or email, to inform us of
>> the error and to enable arrangements to be made for the destruction of the
>> transmission, or its return at our cost. No liability is accepted for any
>> unauthorised use of the information contained in this transmission. If the
>> transmission contains advice, the advice is based on instructions in
>> relation to, and is provided to the addressee in connection with, the matter
>> mentioned above. Responsibility is not accepted for reliance upon it by any
>> other person or for any other purpose.
>>
>--
>R. Daniel Braun, MD FACOG(L) CMT
>Professor Emeritus
>Dept. of Obstetrics and Gynecology
>Indiana U. School of Medicine
>
>R. Daniel Braun
>
> "Science without Religion is LAME; Religion without Science is BLIND"
> Einstein 1941
>
--
Emilio Porro
M.D. Ob.Gyn.
Como
Italy
http://www.sanbonaventura.com
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