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Re: Home births: double footling breech From: Andrew Folley (agfolley@hotmail.com) Sat Nov 26 19:16:14 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: LCLEMOS@aol.com: "Re: I have an idea..." Previous message: Jamie: "Re: I have an idea..." In reply to: Raymond Stephen: "Re: Home births: double footling breech" Entrapped breech heads are usually due to the cervix being tight not lack of room in the pelvis requiring symphiesectomy used for shoulder dystocias. Cervical incisions at 400 and 800 are the treatment. andew >From: "Raymond Stephen" <stephen.raymond@dhhs.tas.gov.au> >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >Subject: RE: Home births: double footling breech >Date: Sat, 26 Nov 2005 18:58:49 -0600 > >The birth weight was 2400 gm. A Zavanelli I do not know how to do, whereas >a symphysiotomy I do. I would venture to suggest that it is a whole lot >quicker to do the symphysiotomy. Properly managed, a limp is not an >inevitable sequel to a symphysiotomy. > >Steve Raymond > >________________________________ > >________________________________ >From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Bernard >Cristalli >Sent: Saturday, 26 November 2005 11:49 PM >To: Multiple recipients of list OB-GYN-L >Subject: Re: Home births: double footling breech > >Well, I wasn't there and I can't judge, but a symphysiotomy on a premature >baby (you didn't tell his weight BTW) seems a bit heavy. >And the lady risks to limp all life long. >A friend of mine did a "Zavanelli" once in such a case with a big baby. >BC > >Raymond Stephen a écrit : > > Just two weeks ago I got caught with a premature breech already on the >operating table with spinal in for a Caesar, when the legs both came out >and it appeared that vaginal delivery was imminent. In fact to everyone's >horror, most of all mine, the head stuck at the brim and after much >sweating and other adrenalin induced reactions I had no choice but to do a >symphysiotomy in seconds flat. I thought the baby was dead on delivery, >but it was resuscitated and has done well. > >Tasmania Together 5 Year Review: Have your say >http://www.tasmaniatogether.tas.gov.au/ Next message: LCLEMOS@aol.com: "Re: I have an idea..." Previous message: Jamie: "Re: I have an idea..." In reply to: Raymond Stephen: "Re: Home births: double footling breech"

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