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Re: A caseFrom: DoctorJoe@aol.comMon Dec 2 18:14:34 1996
In a message dated 12/2/96 4:14:39 PM, you wrote: <<I would not fault anybody for inducing this patient, so don't get distracted from my main point by that issue. But I have to disagree with the way you frame this. The default condition in obstetrics (in all of medicine, actually) should always be to do nothing, unless there is good reason to believe that intervention will benefit the patient. IMHO, having to "give one good reason" for not intervening is a manifestation of a backwards way of clinical reasoning; it tacitly assumes that invervention is correct unless proven otherwise.>> I have to disagree. In OBSTETRICS (OFTEN unlike the rest of medicine), a ripe cervix at term leads to the "bird in the hand" simile. With severe oligohydramnios, deccelerations, etc, this lady CRIES OUT TO BE INDUCED. Joe P.
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