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Re: OB: CNM Cases From: ainsron (ainsron@sbcglobal.net) Wed Nov 3 19:05:57 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Bush wins!" Previous message: Martha S Labarr: "Re: Election Results" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: OB: CNM Cases" Next in thread: Joanne Bulley, MD: "Re: OB: CNM Cases" Gestational age is not mentioned in Williams or in the 1998 FDA Public Health Advisory regarding vacuum extraction as a contraindication or even as a concern. In Modern Instrumental Delivery by O'Grady, He mentions that "the use of vacuum extraction in the delivery of preterm infants, except second twins, is not advised, due largely to concern over intracranial injury although some authors indicate no unusual complications from such applications." So where is the data that proper application of vacuum is dangerous to a preemie coming from, besides the med-mal literature? When I was in residency 75-79, we were taught to avoid vacuum and use forceps on preemies to "protect" their CNS, although I think even that has been shown to be an invalid recommendation. Ronald E. Ainsworth -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. Sent: Wednesday, November 03, 2004 3:06 PM To: Multiple recipients of list OB-GYN-L Subject: Re: OB: CNM Cases At Tue, 2 Nov 2004, GIN11153@aol.com wrote: > >Dr. Garry, > >Not to undermine your knowledge but wanting to learn from more experienced >minds, ? I've worked on 2 >vacuum medical malpractice cases and from my research, it seems that it is. > >Gail Neuman RNC CPHW SNP >listowner of _LegalNurseconsulting@yahoogroups.com_ >(mailto:LegalNurseconsulting@yahoogroups.com) >certified high risk OB/legal consultant >Perinatal education >Perinatal Nurse Associates >Tustin, CA "isn't a vacuum a contraindication in a 34 weeker" Absolutely Not! Mom can push baby out, Doctor can help with vacum, Doctor can help with forceps, Doctor can help with c-section, The possible complications are the same for all of the above. Yes the rates are different. You can not say one methode is better/safer than the others because they are used in different circumstances. There is no Randomized controlled trials comparing the four options, and there never will be. -- Take care, John Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Bush wins!" Previous message: Martha S Labarr: "Re: Election Results" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: OB: CNM Cases" Next in thread: Joanne Bulley, MD: "Re: OB: CNM Cases"

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