Re: Rhogam
From: =?utf-8?Q?Gerald_P._RodrÃguez?= (geraldpr@cybermesa.com)
Sat Feb 28 12:31:24 2009
A Drew-Smythe catheter is a thin catheter that is used when a high amniotomy
(hind-water) is indicated. I never used one.
See:
http://books.google.com/books?id=58gMbC__GdMC&pg=PA160&lpg=PA160&dq=drew+smyth+catheter&source=bl&ots=eyxsAGNkoK&sig=-kBMwUIRzzR0J7n_lMUeXsHd-Ds&hl=en&aNkoK&sig=-kBMwUIRzzR0J7n_lMUeXsHd-Ds&hl=en&ei=5Y6pSYy7LNLjtger-73VDw&sa=X&oi=book_result&resnum=10&ct=result#PPA158,M1
Gerald P. RodrÃguez, M.D., FACOG
Santa Fe
>----- Original Message -----
From: rmodugno@aol.com
To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@mail.obgyn.net>
Sent: Saturday, February 28, 2009 9:27 AM
Subject: Re: Rhogam
> 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
>
> --
>
> art fougner, md
>
> "May The Wings of Liberty Never Lose a Feather." - Jack Burton
>
