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Re: ? from docjoe2855@aol.comFrom: DoctorJoe@aol.comTue Dec 10 16:14:45 1996
<<Please discuss the routine use of abg's from cord at birth. How many of you do it? Why? How many do do it? Why? What is the rationale?>> Cord gases after a complicated labor and delivery give you an idea of how well (or how badly) a baby is doing just before delivery. This might help some decision making in the nursery, if problems arise. Cord gases after a routine delivery tell you how well the baby was at that time, so if something untoward happens in the nursery (i.e., a seizure), you'll be able to say you delivered a metabolically/respiratorily stable baby... Another example would be the later dx of cerebral palsy. A relatively normal monitor strip and normal cord gases gets you off the hook on that one. Otherwise, it'll be "Birth hypoxia! Birth hypoxia, Your Honor! And the pediatric neurologist agress with us!" Joe P. P.S. I know, in most cases it's a weak argument for spending a few bucks. But this IS the '90's, right?.
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