Re: OB: Post Dates Inductions

From: jay kulkin (jkulkin@mindspring.com)
Sat Jul 18 23:05:51 1998


What's your section rate for primips?

Jay

At 12:50 PM 7/18/98 -0500, you wrote: >Discussion fodder: from my own private pt base I've done over 300
>inductions in the past 5 yrs (20% induction rate overall). Almost
>nobody (pt) wants to go past 41 weeks, and I support that, so at 40 wks
>a date is set 5-7 days later for a scheduled indctuion. Until a yr ago
>I used home-made prostin gel 3mg exclusively, now using Cytotec
>(cheap)50mcgs some, but don't like it as well. No problems, no bad
>outcomes, no regrets.
>
>Now obvviously most of these are elective/convenience inductions:
>consumer/pt demand for this is very high here, as opposed to 15-20 yrs
>ago when all the rage was non-intervention (I can go either way). When
>dating is right, there are few failures or 2-3d indux; in those cases,
>going home undelivered is a disappointment to all, but the 'raison' for
>c/s would not be the same as the 'raison' for induction.
>
>Cal
>
>--
>Calvin J. Siegers, MD FACOG...private practice, 21 veteran, Holland, MI
>

--

Jay M. Kulkin, MD MBA Medical Director BCBS of Georgia office 770-386-0640 ext. 17 office e mail-jkulkin@bcbs-ga.com





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