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Re: A caseFrom: John Robertson (jgmr@unixg.ubc.ca)Thu Dec 5 20:22:22 1996
> > In short, there is, IMHO, no substantial justification for your assertion that > patients "are at higher risk if they are managed expectantly over 41 weeks," and > if you are so informing your patients, you are giving them questionable, if not > outright erroneous, information. You are also setting them up for unjustified > worrying should induction fail and the pregnancy continue. As these are not "My Assertions" but those of Dr. Hannah et al, I will leave any justification deemed necessary to them. With respect to informing my patients it is standard of practice in Canada to do so, especially as the committee opinion comes from the Official representative body of O&G in Canada. If I were not to inform them, I would be at risk of practicing substandard care. Several lectures I have attended at different CME events have confirmed that there is a great deal of uniformity in this regard across Canada. With respect to your last sentence. If the induction fails they are delivered by other means. I do not practice serial inductions, I only induce patients that need to be delivered. If they do not deliver vaginally then they will deliver abdominally. J.G.M.Robertson MD, 109-9181 Main St. Chilliwack, B.C., Canada, V2P 3M9 (604) 793-9988 e-mail jgmr@unixg.ubc.ca The best we can do for one another is to exchange our thoughts freely; and that, after all, is about all. James A. Froude (1818-1894)
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