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Re: 13 year old in the OR for C-secFrom: Diane E. B. Petersen (peter261@gold.tc.umn.edu)Thu Mar 21 21:45:20 1996
In message <199603180638.AAA03653@IC.New-Ulm.MN.US> writes: > I've had a request from a patient to have her husband and her 13 year old > daughter in the OR for a scheduled repeat C-sec. > > The patient is a public health school nurse. She says that she wants her > oldest daughter there so the family can bond right away. She states if she > were delivering in the labor room with a vaginal delivery, the daughter > could be there. > > We have an OR policy allowing only one support person in the OR for a > C-section so we can avoid a "cast of thousands" with the associated risks > for infection, the need for the circulating nurse to watch all the > spectators to make sure they're not passing out, etc. > > None of the OR nursing staff are comfortable with a 13 year old observer and > I am not either. The patient says she is going to go 25 miles down the road > to the next hospital (where she delivered previously). > > She's getting her prenatal care by one of the family physicians and so now > it appears I've lost him a patient also. > > Any thoughts or comments. > > Marc J. Burkhart, M.D. > New Ulm Medical Center > New Ulm > MN 56073 > 507-354-4101 > > P.S. I think this initially went in while the list was down. Sorry if it > gets doubled. > Marc, Good to meet you on-line. You might recall, we have shared a patient in the recent past. Re: C/S with more than one family member present. I have had a similar request in the past from the medical assistant in our office. Her son was present with her husband at her repeat C/s after failed VBAC attempt. Her son was 11 or 12 years old at the time. He was prepared for C/S with videos and was kept behind the surgical drapes. His view of the operation itself was quite limited, but he was able to be at the warmer with the newborn and was with his father the entire time. It was a worthwhile experience for us all. The fear of liability is real, but it was clearly explained that I had authority in the operating room and if I asked for the family to leave, they would immediately be escorted out of the OR. This was, of course, a unique experience because the patient was also closely tied to our practice and we had a different level of understanding. Diane Petersen, Women's Health Consultants, Minneapolis, MN
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