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Re: RhogamFrom: rmodugno@aol.comSat Feb 28 09:27:09 2009
Talking about polyhydramnios, does anyone know what a Drew-Smyth catheter is (Quiz), or has anyone ever used one? Robert Modugno MD MBA FACOG Sylva, NC -----Original Message----- From: Glen Elrod <dr99645@yahoo.com> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net> Sent: Thu, 26 Feb 2009 7:30 pm Subject: Re: Rhogam AFI of 37, bilateral hydronephrosis with right ureteral obstruction. The local midwives really didn't feel comfortable doing this delivery. Their regs say they need to consult with an MD for poly. I brought her in for amniotomy with needle. I've been (ready for flames) been thinking about water birth for a while, since I've been watching a whole host of midwifery 'propaganda' movies recently. We have a birth tub but no policy. She got in the tub for labor and with the CDM help we had a water birth. That situation totally flies in the face of AWHONN standards and protocols. Glen From: Richard Chudacoff <rchudacoff@mylinuxisp.com> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net> Sent: Thursday, February 26, 2009 2:54:27 PM Subject: Re: Rhogam Home delivery? Why did she come to see you at all?
Richard Chudacoff, MD, FACOG
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Glen El rod Sent: Thursday, February 26, 2009 3:36 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Rhogam
Transfusion was the only thing I could come up with. but the liklihood is so low. Why the objection? Probably the same reason she objected to fetal monitoring, pit, vit K, eye ointment, etc etc etc. Glen
From: "art fougner, md"<evsono@pipeline.com> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net> Sent: Thursday, February 26, 2009 1:59:12 PM Subject: Re: Rhogam Oh transfusion reaction down the road, difficulties if a transplant needed ... what exactly is her objection? Art At Thu, 26 Feb 2009, Glen Elrod wrote: > >Pt today is s/p delivery and is refusing Rhogam. Baby was Rh +, but they are certain they are done having kids. He is having a vasectomy. She states she will not have other children even if her children die, husband dies, etc. > >Is there any NON-pregnancy risk to not getting Rhogam now? > >Glen
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