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Richard Chudacoff, MD
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-----Original Message-----
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Andrew
Folley
Sent: Tuesday, May 31, 2005 8:59 AM
To: Multiple recipients of list OB-GYN-L
Subject: Re: What do you think?
Babies do not fit very well in OP presentation due to differences in head
diameter with OA.
If she were a primip I would go with a c-section. hwoever in multimp with
3rd baby I would try to rotate to OA with epidural and vacuum. Placing the
vacuum on the head and disengaging infant from pelvis and rotating to OA has
worked well in my hands past 20 years. andrew
>From: clairec1979@hotmail.com (claire)
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: What do you think?
>Date: Tue, 31 May 2005 00:12:30 -0500
>
>First off, apologies if this seems like a stupid question but in my
>defense I've only recently started my training.
>Multip - 40+4 (two previous SVDs but both babies on the 5th percentile
>and this babe is estimated to be on 50th) first examined at midday,
>membranes intact 9cm. Two hours later and a few pushs no descent of
>baby so VE repeated - fully with slight anterior lip - fetus OP, approx
>0 stations. Mum uses entenox to resist pushing on lip. 5pm fully
>dilated, baby still same position as before, membranes intact, mum has
>no urge to push.
>What would you do? Where do you see this ending up in your experience?
>(and why)
>Thanks, just trying to get my heads und things, if I've missed anything
>out then just ask
>Claire
>
