Sunday, September 16, 2007

What To Do?

I was presented with a dilemma recently in theory, haven't personally been in this situation. However, I may be, and I'm curious as to what people think.

In the United States as healthcare providers it is ingrained in us to never-EVER practice outside our training. That means that if you are a pediatrician you shouldn't be removing somebody's gallbladder in surgery. We are specialists rather than a jack-of-all-trades kinda practitioner.

In the developing world it is not often the case. Sometimes, you may be the only person with any healthcare training at all. So what would you do if you were a doctor, but not a trained OB/GYN. There you are in the field and a woman presents in obstructed labor. You've seen a cesarean section twice, and you have a book that details how to do the procedure. There is no other place for her to go, the nearest hospital would be a 2 day trip away. What would you do?

3 comments:

knitalot3 said...

Isn't saving two lives more important.

Unless you are in the USA and then you will probably get sued for your good intentions.

Quite a dilemma.

Betsy B. said...

Yes, saving lives is important. But, are you sure your skills are good enough considering you've never done one? Isn't it more dangerous to risk both lives???

knitalot3 said...

If I was the one in labor, I think I would want you to do it, providing there weren't any better options.

Dying from prolonged labor and childbirth sounds way worse than a c-sect to me. Even if I ended up with a hysterectomy.

That's a complicated call on your part. I hope you never have to decide.