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Re: Double nuchal cord on ultrasound From: Efrain Ramirez (eramirezt@coqui.net) Wed Jun 9 01:09:38 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Braun, R. Daniel: "Re: Double nuchal cord on ultrasound" Previous message: Joanne Bulley, MD: "Re: Double nuchal cord on ultrasound" Agree -- do NTS - wait for onset of labor - this topic has been brought before - let's raise the number of loops to 4-5 -- >At Tue, 8 Jun 2004, ainsron wrote: > >Wait a minute. "Ask the Patient?" We are supposed to be the professionals. >I would tell the patient that a double nuchal cord was found, tell her that >many babies are born with nuchal cords and even true knots without any >problems, but let her know that it could cause problems during or before >labor if it were to tighten -which is not predictable and not a high >percentage. I would tell her to watch fetal movement consistently and >report to L&D if any acute changes - increased or decreased. I would offer >NST 2x wkly until delivered. If there are severe variables in labor, >deliver by C/S. If she strongly requested a C/S I would most likely agree >to it, but not without a couple of weeks of negotiation and discussion. > >Ronald E. Ainsworth > >-----Original Message----- >From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Richard >Chudacoff, MD >Sent: Tuesday, June 08, 2004 6:53 AM >To: Multiple recipients of list OB-GYN-L >Subject: Re: Double nuchal cord on ultrasound > >Ask the patient. Offer a primary C-section or attempt a vaginal delivery. If >there are abnormalities on the FHR tracing in labor, then cut. > >Richard Chudacoff, MD > >Beer is living proof that God loves us and wants us to be happy. > >Benjamin Franklin > >Heaven grant that the burden you carry may have as easy an exit as it had an >entrance. >[Prayer To A Pregnant Woman] >-Desiderius Erasmus > >Para one @ 36 weeks has an ultrasound - all parameters normal vertex, was >breech previously. Has a double nuchal cord on ultrasound. Now what? > >Robert Modugno MD MBA FACOG >Marietta, GA >http://www.novaobgyn.yourmd.com -- "The opposite of a correct statement is a false statement. But the opposite of a profound truth may well be another profound truth." Niels Bohr (1885 - 1962) Next message: Braun, R. Daniel: "Re: Double nuchal cord on ultrasound" Previous message: Joanne Bulley, MD: "Re: Double nuchal cord on ultrasound"

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