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Re: REPostmortem section From: Andrew Folley (agfolley@hotmail.com) Fri Dec 16 07:25:26 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: William D. McIntosh, M.D: "Re: Supracervical Hyst?" Previous message: Andrew Folley: "Re: abortion" In reply to: zygote@icsi.net: "Re: REPostmortem section" Next in thread: RModugno@aol.com: "Re: REPostmortem section" Mom called out of hospital room at 330 pm wednesday saying she was having a hard time breathing. Mom is 36 yo wf at 34 weeks. Drug abuser injectinig oxycodone melted down into her IVs in the hospital. Code started at 333pm for cardiac arrest. Moved to OR for section about 350 and baby delivered at 354 pm with ph 6.6. Mom was essentially dead on table and baby died 12 hours later. Probalbe massive PE from home drug IV injection I am thinking in that situation soon as the code starts one might be better off opening mom righ in the bed during the code ie first 10 minutes if we realistically want to have any chance of getting a baby out of it. andy >From: zygote@icsi.net >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >Subject: Re: REPostmortem section >Date: Thu, 15 Dec 2005 15:58:42 -0600 > >This issue was reviewed here recently and my answer is the same. WQhen an >arrest >occurs and you have reason to believe that it is REAL - not syncope - then >is you are >over 28wks then deliver during code to maximize prob of successful >resuscitation. >Mom on back is not good for caval compression - turn to side to getoff >great vessels is >even worse. > >Deliver. SOONER rahter than later! ben there too many times. Early delivery >does not >guarantee either good baby or mother or both. SHIT happens! > >On 15 Dec 2005 at 10:35, Andrew Folley wrote: > >Date sent: Thu, 15 Dec 2005 10:35:47 -0600 >Send reply to: ob-gyn-l@obgyn.net >From: "Andrew Folley" <agfolley@hotmail.com> >To: Multiple recipients of list OB-GYN-L ><ob-gyn-l@dns.obgyn.net> >Subject: REPostmortem section > > > > > When is the best time to get the baby out when mom has coded? > > > > Durign the code itself ie in the ER or in the hospital bed OR after the >docs > > running the code have determined that Mom is not going to make it. > > > > My gut feeling is to delvier the baby during the code although I >appreciate > > the technical difficulties of squeezing in between getting the femoral > > gasses and chest compressions. > > > > I question the benefit of a section after the code is called in terms of > > gettig a healty baby without significant hypoxia and acidosis. Partner >had > > one yesterday in house and baby with ph 6.6 alive but..... andy > > > >Robert J. Carpenter, Jr. MD >6624 Fannin, #2720 >Houston, TX 77030 >(O) 713-795-4600 >(F) 713-795-4422 > >"Life is difficult" >The Road Less Travelled >by Scott Peck > Next message: William D. McIntosh, M.D: "Re: Supracervical Hyst?" Previous message: Andrew Folley: "Re: abortion" In reply to: zygote@icsi.net: "Re: REPostmortem section" Next in thread: RModugno@aol.com: "Re: REPostmortem section"

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