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Re: How to induce??Whether to induce?? From: dahmd@gate.net Wed Jun 19 19:03:18 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Luetic5@aol.com: "Re: I need suggestions as to what to do next" Previous message: Peter V. Weston, M.D.: "Re: I need suggestions as to what to do next" Maybe in reply to: ElisHyde@aol.com: "How to induce??Whether to induce??" Next in thread: Douglas Krell: "Re: How to induce??Whether to induce??" In article John Robertson <jgmr@unixg.ubc.ca> writes: I know some people are "in to" serial inductions, but I was always >taught that the reason you start an induction is because the baby needs >to be delivered. The risk of C/S should be considered with any >attempted induction. If you start an induction with the idea that the >baby needs to be delivered and you aren't able to deliver vaginally, >shouldn't you be delivering abdominally? On the other hand if you >don't think that you want to do a C/S if your induction fails then how >hard/soft are your indications for induction? My bias, but so far it >has done me well. I may be missing something, but I still don't see a real pressing need for induction in this patient. This probably represents my bias against the enormous number of inductions going on. I know a lot of MFMs who get nervous and want to induce if things are not perfect, and a few who really look (hard) for reasons to "get the baby out before something bad happens." I think this represents their response to seeing a lot of high-risk patients with bad outcomes. It appears from the history that this patient has a low-normal AFI (8), reassuring antenatal surveillance, and probable borderline IUGR (around 10th percentile based on given EFW). I can see leaning towards getting the kid out, but I'm not convinced an induction, and especially a c/section, is in her best interests. I vote for outpatient surveillance and if AFI decreases, baby falls off the growth curve, or otherwise non-reassuring surveillance, then induction and if unsuccesful, c/section. Thanks, Ashley D. Ashley Hill, M.D. dahmd@gate.net Orlando, FL Next message: Luetic5@aol.com: "Re: I need suggestions as to what to do next" Previous message: Peter V. Weston, M.D.: "Re: I need suggestions as to what to do next" Maybe in reply to: ElisHyde@aol.com: "How to induce??Whether to induce??" Next in thread: Douglas Krell: "Re: How to induce??Whether to induce??"

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