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Re: Midwives as list-members (was c/sec in 14 y/o)From: Trish Goudie (jtgoudie@3rivers.net)Sun Nov 30 21:24:45 1997
Well, I'm glad to see more discussion on this issue. I find it interesting how my comments (admittedly strong) have stirred some to consider removing midwives from the list. First, thank you, Dr. Griffiths, you are right, I probably should have waited till the "red" I saw faded a bit. In the future I will refrain from using such descriptive terms as "overzealous" and "controlling". Those were personal, and I apologize. However, it is within my scope of practice to make the decision to induce, and then manage the induction. I am both professionally and legally responsible for those decisions and actions, so the argument that my opinion doesn't count because I don't understand the medico-legal aspects of this case is unfounded. Next, I did not critiize this physician's surgical practice, only the process leading up to it. And he did ask for opinions, did he not? To quote, he asked whether his course of management "was good enough?" Finally, while some have questioned whether midwives should be commenting on this case, those same folks did not address the questions/issues I brought up about the management of this induction. Why is that? I believe in evidence-based practice. I would have to have a darn good reason to bring in anyone for an induction, and another darn good reason to call my collaborative physician to section her under the circumstances described in that case. So, please, if you dispute the reasoning behind my questions to the doctor in Brazil (I'm sorry, I do not recall his name), do so! Provide the evidence! Thank you. Sincerely,
-- Trish Goudie, RN, CNM, MSN Assistant Professor of Nursing Montana State University--Northern Great Falls, Montana USA
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