Re: Breech dilemma

From: Deborah J. Wage FNP, CNM (wagedj@ctrvax.Vanderbilt.Edu)
Tue Mar 3 19:05:52 1998


Cheri Van Hoover wrote:

> R. Daniel Braun, M.D. wrote:
>
> > If you don't have means to rpovide indigent patients with care they need,
> > then refer them to those who do.
>
> I may be remembering incorrectly, but I believe Deborah said that this woman was
> an undocumented alien. Here in California recent legislation has been enacted
> which will prohibit low-income undocumented women from receiving state-funded
> medical services except in emergency situations. In other words, no prenatal
> care, but hospitals must accept them when they show up in labor. Is this the
> situation where you're practicing Deborah? How did you come to be giving
> prenatal care to this patient?

We do it for free or for a nominal fee when it is feasable. We recieve money in a block grant for indiginent care. They only look at numbers. And we do more than prenatal care. But you're right, their emergence Medicaid only pays for delivery. We attempted to get her admitted today for a sono, version and induction if successful. No one would do it. It was recommened she be admitted for a scheduled section. It was relayed that she prefers to deliver vaginally. They know now, and she will just show up in labor, it was expressed that this was acceptable.

Deborah

>
> Cheri Van Hoover, CNM
> Midwifery Service at Stanford

--
Deborah Wage, FNP, CNM

"People do not seem to realize that their opinion of the world is also a confession of character."

Ralph Waldo Emerson





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