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Re: Birth PlansFrom: DoctorJoe@aol.comWed Jun 25 12:06:16 1997
In a message dated 6/24/97 2:19:37 AM, you wrote: <<Most of the patients care much more how you respond to their Birth Plan, than what is actually on it! They want to know... are you flexible? Do you care about their desires and preferences? Can they talk to you? I usually tell them that I will always try to honor their birth plan as long as the labor is proceeding smoothly and safely. In the event of a problem, I tell them that I will likely have to intervene based on my medical judgement, and in some cases, this means throwing out the birth plan.>> Excellent answer. I don't mind talking it over and discussion any particular concerns. This usually makes a BIG impression on a (new) OB patient, at least from those I've seen. I would NOT, however, SIGN anything. And I would NOT EVEN give them the idea that I THINK of agreeing to a "no C/S" or "no IV" or "no EFM" clause. Basically, once the patient becomes "complicated", everything goes out the window. And complicated can mean anything from slight meconium to a deccel on intermittent monitoring to a full moon. ************************************************* doctorjoe@aol.com "All things are connected. Joseph Pastorek, MD Some things are just more Department of OB-GYN connected than others." LSU Medical Center - Dirk Gently New Orleans, LA ("The Big Easy") U.S.A. co-editor: Medscape Women's Health http://www.medscape.com Louisiana state representative: OBGYN.net http://www.obgyn.net see http://www.obgyn.net/states/bios/pastorek.htm *************************************************
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