Re: Demise delivery

From: Charlie Chambers (cchamber@gorge.net)
Tue Jan 13 16:40:48 2004


Lynn

That's a tough one. I can see both ways on this one. I'd hate to do a cesarean on a patient with a demise, but say the patient has significant morbidity with a trial of labor. I think I would lean towards repeating the c/s but I wouldn't argue with anyone giving a trial of labor.

On Jan 13, 2004, at 1:39 PM, Lynn D. Montgomery, M.D. wrote:

> Really need y'all's opinion,
> Have a patient who is 25 weeks gestation with a fetal demise.  Only
> previous pregnancy delivered at 26 weeks for severe PIH via classical
> cesarean section - documented by operative report.
> How would everybody deliver?
> Lynn 
>  
> Lynn D. Montgomery, M.D.
> Rocky Mountain Women's Health
> 2835 Fort Missoula Rd., Suite 303
> Missoula, Montana, 59804
> 406-549-0978
> fax 406-549-0987
> e-mail: apgar10@montanadsl.net
>
>  
>
************************************************************************ *

Charlie Chambers Hood River, OR cchamber@alumni.rice.edu

"No matter where you go... there you are." Dr. Buckaroo Banzai ************************************************************************

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Content-Transfer-Encoding: quoted-printable Content-Type: text/enriched; charset=ISO-8859-1

Lynn

That's a tough one. I can see both ways on this one. I'd hate to do a cesarean on a patient with a demise, but say the patient has significant morbidity with a trial of labor. I think I would lean towards repeating the c/s but I wouldn't argue with anyone giving a trial of labor.

On Jan 13, 2004, at 1:39 PM, Lynn D. Montgomery, M.D. wrote:

<excerpt><fontfamily><param>Arial</param><x-tad-smaller>Really need y'all's opinion,</x-tad-smaller></fontfamily>

<fontfamily><param>Arial</param><x-tad-smaller>Have a patient who is 25 weeks gestation with a fetal demise.  Only previous pregnancy delivered at 26 weeks for severe PIH via classical cesarean section - documented by operative report.</x-tad-smaller></fontfamily>

<fontfamily><param>Arial</param><x-tad-smaller>How would everybody deliver?</x-tad-smaller></fontfamily>

= <fontfamily><param>Arial</param><x-tad-smaller>Lynn </x-tad-smaller></fontfamily>

= <fontfamily><param>Arial</param><x-tad-smaller> </x-tad-smaller></fontfamily>

<fontfamily><param>Arial</param><x-tad-smaller>Lynn D. Montgomery, M.D.</x-tad-smaller></fontfamily>

<fontfamily><param>Arial</param><x-tad-smaller>Rocky Mountain Women's Health</x-tad-smaller></fontfamily>

<fontfamily><param>Arial</param><x-tad-smaller>2835 Fort Missoula Rd., Suite 303</x-tad-smaller></fontfamily>

<fontfamily><param>Arial</param><x-tad-smaller>Missoula, Montana, 59804</x-tad-smaller></fontfamily>

= <fontfamily><param>Arial</param><x-tad-smaller>406-549-0978</x-tad-smaller></fontfamily>

<fontfamily><param>Arial</param><x-tad-smaller>fax 406-549-0987</x-tad-smaller></fontfamily>

<fontfamily><param>Arial</param><x-tad-smaller>e-mail: apgar10@montanadsl.net</x-tad-smaller></fontfamily>

= <fontfamily><param>Arial</param><x-tad-smaller> </x-tad-smaller></fontfamily>

= </excerpt>*************************************************************************

Charlie Chambers

Hood River, OR

cchamber@alumni.rice.edu

"No matter where you go...

there you are."

Dr. Buckaroo Banzai

************************************************************************

--




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