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Re: "Big Brother" in L and D From: douglas krell (douglas.krell@nsionline.com) Mon Jan 6 09:56:57 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Paul Prior MD: "Re: New Series #1-Admission and NSVD of laboring patients" Previous message: richardc@bcm.tmc.edu: "Re: New Series #1-Admission and NSVD of laboring patients" Maybe in reply to: Garry E. Siegel: ""Big Brother" in L and D" Next in thread: Larry Glazerman: "Re: "Big Brother" in L and D" dahmd@gate.net wrote: > 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. This is just what we do. I would add that a post and follow up consultation in the office is mandatory...just to create closure on the subject. Also you need to deal with mortuaries who in our area, will take care of the baby for free and parents often appreciate the acknowledgment of their grief. Doug Krell Next message: Paul Prior MD: "Re: New Series #1-Admission and NSVD of laboring patients" Previous message: richardc@bcm.tmc.edu: "Re: New Series #1-Admission and NSVD of laboring patients" Maybe in reply to: Garry E. Siegel: ""Big Brother" in L and D" Next in thread: Larry Glazerman: "Re: "Big Brother" in L and D"

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