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Re: Kiellands with rotation From: D. Ashley Hill (dahmd@cfl.rr.com) Wed May 11 18:34:08 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: R. Daniel Braun: "Re: Kiellands with rotation" Previous message: Efrain Ramirez: "Re: 3.8m award in childbirth lawsuit -- 2 doctors faulted at Mass. General" In reply to: Garry E. Siegel, M.D.: "Re: Kiellands with rotation" Next in thread: R. Daniel Braun: "Re: Kiellands with rotation" Reply: R. Daniel Braun: "Re: Kiellands with rotation" I don't have a problem with your choice of delivery route but I wonder, had there been a bad outcome, if your lawyer would be able to find someone with experience using Kielland's to testify on your behalf. The expert system is out of whack, partly because so many "experts" render opinions devoid of either experience or medical evidence. Ashley At Wed, 11 May 2005, Garry E. Siegel, M.D. wrote: > >Robert, as usual, you are wise. > >It was a low forceps with rotation, from OP to OA, i.e. 180 degrees. >She was +2, EFW 3650 grams (weighed about 3500g) in a 5 foot, 10 inch >tall primigravida with an adequate pelvis. > >It would have been a shame to section her, honestly. I had a discussion >with her about how to proceed, and she got an epidural, and I reassessed >and re-discussed how to proceed once she was more conversational. > >Garry > >At Wed, 11 May 2005, RModugno@aol.com wrote: >> >>In a message dated 5/11/2005 2:01:24 PM Eastern Standard Time, >>garrys@mindspring.com writes: >> >>Great. >> >>Two call nights ago, did a low forceps for a primigravida with fetal >>tachycardia--all was well. >> >>Last call night, did a low forceps with rotation (OP +2, Kiellands) for >>an arrest of descent, meconium, in a primigravida who had pushed without >>conduction anesthesia for 2 hours and was getting nowhere. >> >>Both babies fine--good apgars, etc. >> >>Maybe we should simply section everyone unless the baby falls out first >>:). >> >>Garry >> >>Garry, I am impressed that you still have the cojones to do kiellands with >>rotation . You say you did "low forceps with rotation' . My question: how much >>rotation (in degrees)? >> >>Robert Modugno MD MBA FACOG >>Marietta, GA >>http://www.myfamilyobgyn.com > >-- >Garry E. Siegel, M.D. >Private Practice >Roswell, GA > -- D. Ashley Hill, MD Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency and Loch Haven Ob/Gyn Group Orlando, Florida Next message: R. Daniel Braun: "Re: Kiellands with rotation" Previous message: Efrain Ramirez: "Re: 3.8m award in childbirth lawsuit -- 2 doctors faulted at Mass. General" In reply to: Garry E. Siegel, M.D.: "Re: Kiellands with rotation" Next in thread: R. Daniel Braun: "Re: Kiellands with rotation" Reply: R. Daniel Braun: "Re: Kiellands with rotation"

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