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Re: "Big Brother" in L and D From: dahmd@gate.net Sun Jan 5 16:40:06 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Terrence.Jones@ncal.kaiperm.org: "nsaids, misoprostol" Previous message: Garry E. Siegel: ""Big Brother" in L and D" Maybe in reply to: Garry E. Siegel: ""Big Brother" in L and D" Next in thread: douglas krell: "Re: "Big Brother" in L and D" In article "Garry E. Siegel" <garrys@atl.mindspring.com> writes: >In the old days, I would talk to these folks, and the fetus would stay in L >and D as long as the parents wanted, alive or not, and no ruckus is made. >However, a good guy attorney has advised me personally (the attorney >specializes in med staff matters) that this could be contrued as hasting a >death, so that the result won't be a severly handicapped baby. As we know, >a dead baby is "cheaper" than a damaged one. Thus, the attorney urges me to >always involve the neonatologist. For previalbe pregnancies we also talk with the parents ahead of time, deliver the baby, and allow the parents to hold the baby if they want. We explain that there is often resp. movements and cardiac activity, and explain that the situation is still hopeless. Many parents hold their baby until he/she dies, while others do not. In those cases we cover the baby and treat him/her carefully and with dignity. This has never presented a challenge medically, legally, or from the hospital administration. We do offer the parents a neonatology consult to reiterate that, as per your example, a 21-week fetus is previable. Some want to talk to the Neo's, others do not. The difficulty we have is with babies that have unsure dates or are possibly viable. What a mess then. Damn malpractice lawyers! It sounds like you're on the right track to me. Ashley D. Ashley Hill, M.D. Assistant Director Dept. of Ob/Gyn Florida Hospital Family Practice Residency Orlando, FL dahmd@gate.net Next message: Terrence.Jones@ncal.kaiperm.org: "nsaids, misoprostol" Previous message: Garry E. Siegel: ""Big Brother" in L and D" Maybe in reply to: Garry E. Siegel: ""Big Brother" in L and D" Next in thread: douglas krell: "Re: "Big Brother" in L and D"

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