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Re: BPP 2 and reassuring tracing From: Glen Elrod (dr99645@yahoo.com) Wed Apr 22 13:23:51 2009 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: BPP 2 and reassuring tracing" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: BPP 2 and reassuring tracing" In reply to: Andrew Folley: "Re: BPP 2 and reassuring tracing" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: BPP 2 and reassuring tracing" Reply: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: BPP 2 and reassuring tracing" Reply: rmodugno@aol.com: "Re: BPP 2 and reassuring tracing" I had this exact scenario with a labor nurse pt not too long ago. Only points were for AFI. Sent to L&D and tracing was reactive on admission (hadn't been in the office). Pt had labor stimulated (didn't necessarily want pit so we used the breast pumps) and she managed to progress to 8cm before all hell broke loose on the strip and then at section Apgars were 8/9. Cord ph was 7.2. Go figure. Glen ________________________________=0AFrom: Andrew Folley <agfolley@hotmail.com>=0ATo: Multiple recipien= ph was 7.2. Go figure. Glen __________________________ts of list OB-GYN-L <ob-gyn-l@mail.obgyn.net> Sent: Wednesday, April 22, 2009 8:58:48 AM Subject: RE: BPP 2 and reassuring tracing Let me turn the tables and pose this question: Same patient of Johns sent over from office with decreased fetal movement and BPP of 2. Does she get immediatec-section? What if she is put on monitor awaiting the c-section and the tracing is "reactive" ie category I? what do you do?? > Date: Tue, 21 Apr 2009 15:52:02 -0500 > From: johnprov@sympatico.ca > To: ob-gyn-l@mail.obgyn.net > Subject: Re: Non-reassuring tracing in latent phase Family doc and Head nurse send patient for u/s. > > At Tue, 21 Apr 2009, Richard Chudacoff wrote: > > > >Then they need to go to remedial strip class and cannot work until they > >pass. That is inexcusable. > > > >-- > >Richard Chudacoff, MD, FACOG > > > > The problem with that is a lot would not pass. The hospital policies > are clear and easy to understand, all you have to do is follow them. It > states a non-reassuring fetal heart status is at least moderate risk and > requires a consult. It does not say tell the family doc to get a BPP. I > can understand a 30min-60min delay, but this draged on for 4hrs. Also > sending the mom down to the radiology department to wait for a BPP was > wrong, there was a small chance the baby could have died waiting in line > for a BPP. And it was not that they did not think the tracing was > non-reassuring, they did. > > -- > Take care, John ________________________________ Rediscover Hotmail=AE: Get e-mail storage that grows with you. Check it out.= > > -- > Take care, John ________________________________ Re Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: BPP 2 and reassuring tracing" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: BPP 2 and reassuring tracing" In reply to: Andrew Folley: "Re: BPP 2 and reassuring tracing" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: BPP 2 and reassuring tracing" Reply: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: BPP 2 and reassuring tracing" Reply: rmodugno@aol.com: "Re: BPP 2 and reassuring tracing"

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