Kapernick's Calling: The High Risk Who Need Medical Management
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Kapernick 's calling: the high risk who need medical management By MARSHA SHULER Of The Times Staff Peter S. Kapernick, MX)., is look-ing for high-risk patients. Kapernick, who recently joined the staff of LSU Medical Center as an instructor in obstetrics and gynecology, is trying to identify women who have the potential of a high-risk pregnancy in order to get better care to them. Kapernick comes to Shreveport from Emory University in Atlanta, Ga., where there are advanced high-risk pregnancy management techni-ques. "I want to see if they can be modified to fit this particular set of circumstances," he said. In Atlanta the urban poor were treated, "not anywhere near the amount of rural people" being seen at the med center, the 36-year-old Minnesota native said. "We rarely did take care of people living 30 to 40 miles away." Kapernick suspects there is a problem with high risk pregnancies in the rural areas of the Ark-La-Tex, so he's working to see if his suspicion is correct. The next step will be to decide what to do to protect the quality of life for mother and baby-to- be. High-risk patients are identified as people who have anything other than a term, vaginal delivery with surviv-ing infant. And there are lots of circumstances in between. Through a check of previous ob-stetric histories of patients, Kapernick said, a group can be iden-tified that is more likely to have a high-risk pregnancy; known medical illness is a factor and maternal age as well. Anyone over 35 and under 16 years of age is considered high-risk. Distance • from medical faculties also can contribute to a high-risk pregnancy situation, he said. "The kind of research I need to do could be used in an education-type program. If the problem is identified early some problems can be solved, he said. In his search for the medically high-risk he has found two things. "We generally don't see people early enough. It's not uncommon to see a patient for the first time when she is in labor," Kapernick said. In addi-tion, he said "there seems to me "The decision you make as far as treatment is concerned is . . . a decision that affects 100 years of life — 40 years maternal and 60 years of the baby\ " — Dr. Peter Kapernick. is more applied than basic within the area of high risk pregnancy," Kapernick said. He has started the med center project by reviewing statistics to see who it is that delivers small infants and infants that don't survive. Then he looks backward to see if he can identify something in the patients' history that has caused the situation. The findings are validated through a prospective study which continues to follow the patient. If his suspicions are right about there being a lot of high-risk patients in rural areas, a plan of action will be decided to get more help to that population. "It's probably a matter of more doctoring," Kapernick said. Nonprofessional medical personnel there is a fairly high number of patients who have a specific medical complication that put them at high-risk — hypertension." Education about diet in the early stages of the pregnancy can help here, he said. Why did Kapernick choose the managment of high-risk pregnancies as his specialty? "Management of the medically high-risk is usually pretty challeng-ing because the decision you make as far as treatment is concerned is a pretty sound significant decision," Kapernick said, " a decision that affects 100 years of life — 40 years maternal and 60 years of the baby's. So it's really an area (in which) you can make changes in the quality of life." (Times photo by Langs ton McEachern) ST 11-13-78 Peter Kapernick, M.D.
|Title||Kapernick's Calling: The High Risk Who Need Medical Management|
Kapernick, Peter S.
Obstetrics and Gynecology Department (Louisiana State University Health Sciences Center - Shreveport)
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|Source||Louisiana State University Health Sciences Center Shreveport Medical Library (http://lib.sh.lsuhsc.edu)|
|Coverage-Spatial||Shreveport (Caddo, La.)|
|Rights||Physical rights are retained by Louisiana State University Health Sciences Center Shreveport. Copyright is retained in accordance with U.S. copyright laws.|
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