Re: IUD and PID

From: Braun, R. Daniel (rbraun@iupui.edu)
Mon May 31 08:36:59 1999


But they don't have to have supervisors. They are independent practitioners, without the same training and without the same liability. That is the problem that I have with all of this. Dan R. Daniel Braun, MD FACOG Clinical Professor Department of Obstetrics and Gynecology Indiana U. School of Medicine Indianapolis, IN 46202

International Representative for United States OBGYN.net

-----Original Message----- From: garrys@mindspring.com [SMTP:garrys@mindspring.com] Sent: Saturday, May 29, 1999 10:40 PM To: Multiple recipients of list OB-GYN-L Subject: Re: IUD and PID

>
>Actually, how cost-effective is putting an IUD in a 48yr old? Would
doing a >day 3 FSH be a pointer to how her chances of getting pregnant would
be? Would >placing an IUD in a patient ( not necessarily this one) with a
history of >infertility increase the risk of ectopic pregnancy?
>
>Robert Modugno MD FACOG
>Arista OB/GYN
>Alpharetta, Woodstock & Cumming GA

Well, these are good points, and may not have been fully considered by the CNM pre-placement. Whoever the inserter was (CNM or MD) should have thought of things like this; my contention is that the MD (who is the supervisor of the CNM) should be involved/consulted when it is not straightforward.

Garry

-- Garry E. Siegel, M.D., FACOG Private Practice Roswell, Ga.





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