Re: Version at 37wks

From: Elrod Glen Maj 3 MDG/SGOB (Glen.Elrod@ELMENDORF.af.mil)
Fri Mar 26 15:04:31 2004


This pt also happens to be an L&D nurse. It was her choice. I haven't done them with a spinal since residency when we would vert them and induce them and just leave an epidural in place.

D. Glen Elrod, Maj, USAF, MC Medical Director Women's Health Center Elmendorf AFB, AK 99506

-----Original Message----- From: DoctorJoe@aol.com [mailto:DoctorJoe@aol.com] Sent: Friday, March 26, 2004 3:24 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Version at 37wks

In a message dated 3/25/04 7:02:10 PM, Glen.Elrod@ELMENDORF.af.mil writes:

<< G2P1 at 37+2 wks with a prior vaginal breech delivery (yes that was a primip

breech delivery) now breech. Version under spinal was successful. Cervix

is 2-3/50%. Would you opt for delivery or send her home and hope she

doesn't turn back?

We've had two MFMs say they would induce and two say they wouldn't. Just

interested in your opinions. >>

Just a question: Why the spinal? Why not just some terbutaline and do it? I thought one of the "danger" signs in a version was pain, and with the spinal, you've taken that away.

Joe P.





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