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Re: OB: 31 week IUFDFrom: Valerie Jacobsen (valjacobsen@yahoo.com)Fri Mar 19 09:29:02 2004
>Maybe I misread the initial post. Are you laboring (spontanous or not), two >prev c/s with unknown scars? The best outcome is a vaginal delivery of a dead >baby at some unknown time and date (300AM or in the middle of office hours). >The worse is a ruptured uterus and a hysterectomy. If my junior partner >offered this laboring this pt, I will tell him to call our insurance carriers risk management. She should at least be offered the choice of repeat section. >Personally I would cut her as soon as she is emotionally ready. Why increase her risk of accreta for a dead baby, I wonder. (Mankuta, AJOG, Sept. 2003)
-- Valerie Jacobsen, RN, BSN, MS
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