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Re: A Poll,From: Douglas Krell MD (dougkrell@roadrunner.com)Sun Apr 19 19:09:27 1998
Answers:
>1. How many visits do you practice during a normal pregnancy? Monthly to 28, every 2 weeks to 36, then weekly to 41. Usually I induce before 42.
>2. Do you perform a vaginal exam at each OB visit? No. At initial New OB Visit, then again if symptoms warrant. At 36wks, vaginal strep culture, then I usually check dilation once after that, especially if patient has symptoms of labor, lives far away, or I'm unclear about presentation. At 41 weeks I'll check dilation prior to induction.
>3. How do you control the evolution of a delivery? Vaginal exam or not? I'll examine patient when admitted to L and D. Usually again when pt. requesting something for pain management...prior to epidural or narcotics. Again when pt begins pushing. Most of the time I keep my examining hands off during second stage until the very end...
-- Douglas Krell MD
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