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PIH and Cervidil From: CNMPAT@aol.com Tue Oct 1 09:10:56 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: dahmd@gate.net: "Re: Jehowah witness medical care" Previous message: franka@VAX.CS.HSCSYR.EDU: "Re: Jehowah witness medical care" Gary and others: Sorry for the tardy response. I'm just now getting around to reading this file !! Thanks for your response, and actually, I do keep seriously PIH clients in overnight. There is an attitude at our hospital about 'unnecessary admissions', and some would argue the person needs to go home, because they are taking up a space, and space is $$. I disagree with them, and feel the safety of the mom and baby are foremost. I mention the safety issue, and don't get much argument then from the nurses. But we are looked at as costing the hospital $$ !! Recently in our area, a mom with mild PIH WAS sent home (from another facility), after Cervidil, to come back for pitocin. The next morning, when she came back, her baby was dead. So, I agree. If a medical indication such as PIH exists, they stay. What do the others of you feel. How do you deal with the issues of "Cost Containment". Any good responses? >>Pat, I am of the opinion that if you feel someone's PIH merits delivery by induction, then that person should stay in the hospital for ripening (if so chosen) and subsequent induction. We all know that you rarely will get into trouble sending someone home overnight (such as you might do with a postdates Cervidil without PIH), but do you ever want to have to answer to someone about sending home a pre-eclamptic whom you felt needed delivery? Once Mg++ is started, I would keep it going for 24 hours postpartum Garry Siegel, M.D., FACOG garrys@mindspring.com>> Pat Sonnenstuhl, CNM,ARNP,RH/CH South Sound Women's Center: 2 CNMs and 3 OB/GYNs Olympia, WA cnmpat@aol.com HTTP://home.aol.com/CNMPAT October 1, 1996 7:03 am Next message: dahmd@gate.net: "Re: Jehowah witness medical care" Previous message: franka@VAX.CS.HSCSYR.EDU: "Re: Jehowah witness medical care"

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