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Re: Birth Plans From: jay kulkin (jkulkin@mindspring.com) Sat Jun 21 15:52:22 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Cheri Van Hoover: "Re: Birth Plans" Previous message: Larry Glazerman: "Re: Birth Plans" Maybe in reply to: CNMPAT@aol.com: "Birth Plans" Next in thread: Dr Eberhard W Lisse: "Re: Birth Plans" Reply: Dr Eberhard W Lisse: "Re: Birth Plans" We have several years experience with all of your issues. We have rarely used "walking epidurals" only because we've had 1 or 2 requests and those have been by patients currently pregnant. I'm still not comfortable with eating during labor, though one of our midwives (who is lurking and reading this-Hi there) used to tell patients to eat before coming to the hospital. In fairness, we've not had any problems other than fits from our Anesthesia colleagues. Most of the requests make sense, save money and create a less invasive experience. birth plans give patients a sense of control- which they need to have. Creates a team of which the doctor is a player. Hope that helps. Jay At 02:33 PM 6/21/97 -0500, you wrote: >I hope that this topic does not start a riot. > >I have been reading birth plans recently in an attempt to familiarize >myself with the requests of patients who prepare them. Throughout my >residency and first year of practice, I have not encountered anyone who has >requested or prepared a birth plan. > >I am open to most of the concepts in the plans. There are a number of >things routinely done in L&D that are very paternalistic and done for the >convenience of the providers. I can understand the impetus for the mother >to avoid enemas, narcotics, shaving, routine episiotomy, and the rapid >removal of the infant to the nursery. > >I feel it is my responsibility to adhere to the patient's requests, however >I am concerned with medico-legal liability concerning certain issues. > >I have listed a few of the items that I have no experience with. I am >wondering whether other list members have encountered these requests, >whether there is a reasonable explanation for the request, and what the >potential adverse consequences are, medically and medico-legally, of >complying with these requests. > >1) Eating during labor >2) Ambulation with epidural >3) Cord clamping after the pulsations cease >4) No IV access > >thanks.. > >Geffrey H. Klein, MD >listowner: OB-GYN-L >Advisory Board Chairman, OBGYN.net < http://www.obgyn.net > >Co-moderator: sci.med.obgyn >gklein@bcm.tmc.edu gklein@icsi.net >http://members.aol.com/gklein01/geff.html >6800 W. Loop South #520 >Bellaire, Texas 77401 >(713) 664 8900 > -- Jay M. Kulkin, MD, MBA, FACOG Medical Resource Group 1117 Perimeter Center West Suite 510 East Atlanta, Georgia Phone:770-392-3475 e-mail: medresourcegroup@mindspring.com Next message: Cheri Van Hoover: "Re: Birth Plans" Previous message: Larry Glazerman: "Re: Birth Plans" Maybe in reply to: CNMPAT@aol.com: "Birth Plans" Next in thread: Dr Eberhard W Lisse: "Re: Birth Plans" Reply: Dr Eberhard W Lisse: "Re: Birth Plans"

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