High Risk OB dilemna

[Dave Sharpe <dsharpe@calstar.org>]

Ok folks, here's a scenario for you.  Your service flies a BO-105 
aircraft, and has an agreement with a local OB receiving facility to 
provide transport for high-risk OB patients.  On these flights, you 
send the aircraft with one Flight Nurse to the receiving facility to 
pick up a Labor and Delivery Transport Nurse as part of your team, then 
respond to the sending facility 20 minutes away (90 minutes by ground). 
 Upon arrival, you find  a 26 week pregnant, G1P0 patient whose cervix 
is dilated to 10 cm with intact but bulging membranes.  She came in the 
day prior with contractions which were controlled with a MagSo4 drip at 
3gm/hr.  She is no longer having contractions.  The sending physician 
wants her transferred to the receiving specialty center to manage her 
pre-term labor, but does have the capability to resuscitate a preemie 
newborn if necessary.
1.)	Would you transport this patient?
2.)	For the sake of discussison, lets stipulate that you're not 
comfortable with transporting the patient, but the L&D specialty nurse 
and the receiving Perinatologist feel the patient is stable enough to 
transport by air, and is not in danger of delivering precipitously 
enroute.  Given this information, would you then transport the patient?


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