|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: ACOG and labor inductions.From: Garry E. Siegel, M.D. (garrys@mindspring.com)Mon Dec 1 18:24:52 1997
"An induction > >>performed only for the convenience of the Mother or the Physician". > >What do other members think> > >-- >Larry R. Glazerman, M.D. FACOG > >Valley Ob-Gyn Associates > >Allentown PA > >glazerman@enter.net > Well, I believe that an ob can elect to do an inductions electively at 39 or more weeks (see ACOG criteria) with informed consent and use of good judgment. Unfortunately, I bet that some inductions are ill advised, meaning less than 39 weeks by good dates, or, more likely, cervices that are not as favorable as one might like, and, even worse, with patients who are informed of what might and might not happen. A doc at my hospital (now practicing elsewhere) seemed to induce a lot of primips with unfavorable cervices at 40 to 41 weeks b/o macrosomia, and, no surprise, he sectioned bunches of them. Occasionally, I see an elective induction attempted and it be turned off at 5 PM, and try again a few days later. That doesn't seem right. So. . . Garry who thinks he knows all does do elective inductions with great Bishops in primips, and very good Bishops in multips, only at 39 or more weeks, and only after offering it to the patient honestly, for mutual convenience, and informing her that it may slightly increase her section chances (no comment needed, Bob). Knock on wood, using this direct, honest approach in favorable circumstances, I can't remeber the last one who didn't deliver during the daylight hours vaginally. Garry
-- Garry E. Siegel, M.D., FACOG Private Practice Roswell, Ga.
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 05:26:02 2009 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.