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Re: I have less problems these days, thanks to the list From: DoctorJoe@aol.com Wed Dec 13 17:09:15 1995 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Rudolf Straka: "Re: I have less problems these days, thanks to the list" Previous message: Ralf Witteler: "Re: Abruptio vivax ???" Maybe in reply to: Gary Kleinman: "I have less problems these days, thanks to the list" Next in thread: Rudolf Straka: "Re: I have less problems these days, thanks to the list" <<And our hospital no longer requires permission from the clergy to induce a 20 weeker with SROM and chorioamnionitis.>> I'd be interested in who the clergy were and what the reasoning was. The 'standard' treatment for chorioamnionitis is antibiotics and delivery. The gestational age doesn't matter. If the clergy you're talking about is Catholic, the 'party line' is that standard therapy (in this case, antibiotics and delivery) is okay. The fate of the baby is 'in God's hands' at that point. As long as your primary intent is not to 'kill the baby' (and in this scenario, it's obviously not), then you merely go ahead with standard therapy. The fact that the baby dies as a 'side effect' of the standard therapy is unfortunate but not really your fault. This seems to be a little nit-picky to the casual observer. However, the concept of primary intent and standard practice is a very strong one in dealing with problems like this (e.g., how about cervical cancer at 12 weeks?). ************************************************* doctorjoe@aol.com "All things are connected. Joseph Pastorek, MD Some things are just more Department of OB-GYN connected than others." LSU Medical Center - Dirk Gently New Orleans, LA U.S.A. ************************************************* Next message: Rudolf Straka: "Re: I have less problems these days, thanks to the list" Previous message: Ralf Witteler: "Re: Abruptio vivax ???" Maybe in reply to: Gary Kleinman: "I have less problems these days, thanks to the list" Next in thread: Rudolf Straka: "Re: I have less problems these days, thanks to the list"

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