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Re: Patients with previous elective abortion

From: Marcia (anonymous@obgyn.net)
Thu, 29 Oct 1998 07:20:48 -0600 (CST)


I have one comment that may help to relieve the original poster. I agree with Dr. McIntosh that this information should be originally given to the pediatrician at birth. However, at the hospital I go to, each individual's chart follows him/her everywhere. If I see a gynecologist and then several weeks later, a dermatologist within the same system, the results of my gynecology exam are on the chart that the dermatologist sees. Some offices may keep separate charts as well, but that's how it works where I go.

For the first several months at least, the mom's history *is* the baby's history. But after that, this preliminary paper should be at the bottom of the stack, covered by things that are pertinent to the baby only. The pediatrician most likely will not remember it, unless he/she needs to go looking for it.

At any rate, the doctors involved are professionals and should not be judgemental. Hope this helps a little bit.At Wed, 28 Oct 1998, Marna D. E. Gatlin wrote: >
>Dear Dr. McIntosh-
>
>Thank you so much for taking the time to respond. I do not know about the
>rest of the ladies of this forum, but I have learned a great lesson from you
>today.
>
>I didn't even think about those possible ramifications. And I am studying
>to be a nurse!
>
>Thank you again, and I just need to learn not to be ashamed of the choices I
>have made.
>
>Sincerely,
>
>Marna D.E. Gatlin
>Doula/SNMW
>
>The first, and best, reason is that this is an extremely bad idea in
>principle. There are any number of factors in a medical history that
>might be embarrassing, but hiding them from your doctor is a bad idea.
>An abortion is just one of many.
>
>Possible complications of an abortion that might effect a current
>pregnancy include Rh isoimmunization, intrauterine scarring from the
>D&C, cervical incompetence from the D&C, uterine perforation from the
>D&C, and so on. I realize that these are rare, but why tie one hand
>behind your doctor's back, so to speak?




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