do you think there are too many interventions in L&D. It seems lately all our patients are pitted,ruptured, induced and or augmented. Some of our docs give patients arbitrary time limits for each phase if they don,t proceed on scedule it,s time for forceps or c/s. Just yesterday had patient who was G1P0, in labor had estimated 9lb baby, was progressing well baby was doing fine. patient had an epidural which was dosed why to heavy, not use of legs pt pushed first 1/2 hour or so very ineffectively, finally got the hang of it. baby was moving,doc came in at her 2 hour time limit checked patient says baby not moving at all. she called c/s. patient had adequate pelvic outlet, baby was at +2 or greater station when prepped. delivered 9lb 1 oz male by c/s.
