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Re: Cesarean Rates in South FloridaFrom: Geffrey H. Klein, MD (gklein@bcm.tmc.edu)Wed Dec 31 06:23:20 1997
On 12/31/97, Myer S. Bornstein wrote this: Q> On of the facts he gave was Q> that the resident service had a lower section rate than the Private service. Q> A reason could be that the residents are on for a definitive shift, and when Q> tit is finished they are off and the patient is the responsibility of the Q> next person, so that time constraints do not enter into the equation. Ah, yes... Coming in in the morning for check-out.. "We have a 42 y/o G6P5 with 5 prior cesareans. Four are documented low transverse. We couldn't document one one them. They were all for CPD at term, so we figured it must have been a low transverse incision.. Anyway, she is 42 weeks and the baby might be a little big.. Well, it scans to 4300g. Oh, forgot to tell you, she is breech. We convinced her she should get a trial of labor. Well, have a nice day. I am going home to bed.." ---------------------------------- Geffrey H. Klein, MD ---------------------------------- gklein@bcm.tmc.edu -- ---------------------------------- List-owner OB-GYN-L
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