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Re: OB: A Poll,From: Ari Gold (arig@getnet.com)Sun Apr 19 18:29:28 1998
At 02:53 PM 4/19/98 -0500, you wrote: >In France vaginal exams are an institution. It would be considered >unethical to design a study to compare vaginal exam Vs no vaginal exam >during pregnancy or delivery. These are my questions. > >1. How many visits do you practice during a normal pregnancy? once every 4 weeks until 28 weeks, then every 2 weeks until 36 weeks, then weekly until delivery, unless clinical course demands more frequent evaluation. Total # of visits depends on gestation at entrance into care.
>2. Do you perform a vaginal exam at each OB visit? No, my schedule is: At initial visit, 35 weeks GBS culture, without digital exam, 41 weeks if she makes it that far.
>3. How do you control the evolution of a delivery? Vaginal exam or not? Moms go into labor spontaneously, unless beyond 41 weeks gestation. I do an exam at initial assessment, and for any apparent change in status, or prior to any procedure. Other than that, I try not to do them by the clock, and attempt to be as non-interventive as possible.
>-- Ingrid Gold, CNM Chandler, Arizona arig@getnet.com
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