How does your department handle OB?

[HLxDrummer]

---

Members do not see this ad.

Resident here...our department ships basically all pregnant patients to L&D regardless of complaint if they are over 20 weeks pregnant. Is this how it works in the community? I just can't imagine OBs coming in at 3AM for a 22 weekend with a cold. Just concerned I won't be comfortable seeing these patients in the future since we don't really see them in residency (for example abdominal pain in pregnancy).

 

[hello1234!]

I think abdominal pain in pregnancy should always be evaluated by OB. (I am IM).

 

[katmandu]

At my shop, the ED evaluates if it is not an abdominal pain or pregnancy related complaint.

 

[brk81144]

At my shop 20+ goes up to ob and then sent down if needed. We have a large ob department though and have an OB in house 24/7

 

[TrumpetDoc]

Everywhere I have ever worked in he community has had the ~20wk policy.
Anything non abdominal in that timeframe goes to ed.
Most in the real world as well will send back to ED if concern for non OB abdominal pain once "cleared" by OB.

 

[HLxDrummer]

Great to hear that, thanks!

 

[CommunityED]

For non pregnancy related complaints (i.e MVC, Chest pain), they get an ER work up and then up to L&D for monitoring. Anything that may be related goes to L&D first and we usually don't get involved.

 

[Rendar5]

It gets easier if you don't have L&D. You see everything and then transfer if need be🙂. When I work at ED with L&D's though it works as above pretty standard

 

[DrYoda]

I work in the community and if it's an abdominal or vaginal complaint over 20 weeks it goes up to OB, other stuff we will generally take care of. abdominal pain exception is trauma which will get seen by both departments.

 

[Janders]

We don't have OB. Well actually we have a busy outpatient OB practice located next door to the hospital, but we don't have OB in house or on call and we don't have L&D at our hospital.

So we do it all, and if we feel necessary Xfer to another place for formal OB evaluation. Thankfully most OB are (1) easy to get ahold of via phone (2) easy to get short-interval followup with in clinic and (3) understanding if you say you're just not comfortable and want them seen at L&D that night. Honestly some of the more understanding and pleasant consultants I speak with on the phone.

 

[ZhivagoMD]

Judging by the responses and how the closest major hospital near me operates, we take everything to OB. We actually have 3 satellite campuses apart from the major hospital and anything pregnancy related coming into those hospitals gets an Xfer from EMS and straight to OB/L&D. The transfers don't even stop in the ER at the receiving hospital.