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Re: What do you think? From: Steve & Eryl Raymond (eryl@intekom.co.za) Tue May 31 15:28:55 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr Eberhard W Lisse: "Re: FRI baffling case" Previous message: Richard Chudacoff, MD: "Re: Error Condition Re: Re: pulling baby out by your hands????" In reply to: Andrew Folley: "Re: What do you think?" Next in thread: Anna Meenan, MD: "Re: What do you think?" Dan, Entenox is 50/50 Nitrous and oxygen. Why on earth are the membranes intact? No wonder she doesn't progress! This is the indication for a good old fashioned rotational forceps for which I would use a Kiellands under epidural. Disengaging the head with a vacuum I have never done, but at any time disengaging is a risky business because of the risk of cord prolapse. She has been far too long in the end of first/beginning of second stage. Time to do something. Steve Andrew Folley wrote: > 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 > Next message: Dr Eberhard W Lisse: "Re: FRI baffling case" Previous message: Richard Chudacoff, MD: "Re: Error Condition Re: Re: pulling baby out by your hands????" In reply to: Andrew Folley: "Re: What do you think?" Next in thread: Anna Meenan, MD: "Re: What do you think?"

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