Re: OB: A Poll

From: R. Daniel Braun, M.D. (rbraun@iunet.iupui.edu)
Mon Apr 27 14:18:12 1998


And most of them heave a sigh of relief when I tell them that if there is no real reason to do one, I don't think we should. On the other hand a few insist. (Different strokes for different people) Dan -----Original Message----- From: hope@bslnet.com <hope@bslnet.com> To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net> Date: Friday, April 24, 1998 9:30 AM Subject: Re: OB: A Poll

> The thing that really made me stop
>>though was when I checked a lady at 36 weeks who had had NO bleeding and
>>discovered her placenta previa. My office luckily was inside the hospital,
>>about 100 feet from L & D. When she was delivered by C/S 15 minutes after
my >>exam, her blood loss was already at 2000 cc. Do enough routine exams at 36
>>weeks and this will happen to you too.
>>Dan
>
>Probably better to discover the previa in your office, rather than having
>her come in in an ambulance.
>
>Regarding the question to do routine VEs or not,I find that it's kind of
>hard to win. You don't, and the woman feels neglected. You do and you can
be >accused of being too invasive. It's probably best to do them as indicated,
>and with the woman's wishes in mind. I find that most women request a VE at
>36-37 weeks on.
>
>Paula
>





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