Re: Breech Trail
From: Bernard Cristalli (bcrist@club-internet.fr)
Fri Jan 27 00:50:56 2006
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Width alone is not enough.
I use an index combining anteroposterior and transversal measures.
BC
Henry Gregor wrote:
> Pardon me if I'm wrong, but width alone is not sufficient to predict
> success. Years ago, Dr. (David?) Klapowitz - a fine gentleman who
> actually knew Dr. Friedman (of Friedman curve) - pulblished and
> article (AJOG, I believe) discussing Ball pelvimetry....an update on
> Dr. Ball's work.... detailing volume studies and providing a
> (complicated) formula for computation. The author had provided all the
> info needed for programming this so it could be readily computer
> generated.
>
> Hank
>
> */Bernard Cristalli <bcrist@club-internet.fr>/* wrote:
>
> If the head is small and the pelvis wide it is not possible.
> BC
>
> Efrain Ramirez a écrit :
>
>>Bernard - you did not answer my question - Ef
>>
>>>At
>>> Tue, 24 Jan 2006, Bernard Cristalli wrote: Content-Type: text/plain; charset=ISO-8859-1; format=flowed Content-Transfer-Encoding: 8bit The head must be rather small (ultrasonography) and the pelvis must be rather wide (X-ray pelvimetry). If the the head is obviously (or probably) too big it's a Cs. That's what I meant by "proper selection". BC Efrain Ramirez a écrit :
>>>
>>>>Bernard: what will happen to you if - Gord forbid, you run into a head entrapment with severe neuroligical sequelae in a breech delivery? Ef At Mon, 23 Jan 2006, Bernard Cristalli wrote:
>>>>
>>>>>Content-Type: text/plain; charset=ISO-8859-1; format=flowed Content-Transfer-Encoding: 8bit Of course not. I perform Cesareans. A vaginal breech is as safe as a vertex, actually a vaginal vertex is as risky as a vaginal breech if the selection is done properly. 80% of the breeches are offered a !
>>>>>trial of
>>>>> labor and 50% are VDs. BC Dr Eberhard Lisse a écrit :
>>>>>
>>>>>>What we call here Normal Vetrex Deliveries are safer than Vaginal Breech Deliveries. I do much less vaginal deliveries than I like, actually, because NVDs are predominantly done by GPs here, who refer complicated and high risk staff to the specialists. Or not :-(-O Do you do only vaginal deliveries? el on 1/22/06 11:43 PM Bernard Cristalli said the following:
>>>>>>
>>>>>>>Vaginal vertex deliveries aren't totally safe either. Do you do only CSs? BC
>>>>>>>
>>>>-- " The greatest obstacle to knowledge is not ignorance, it is the illusion of knowledge." Daniel J. Boorstin - Historian
>>>>
>> -- " The greatest obstacle to knowledge is not ignorance, it is the illusion of knowledge." Dani!
>>el J.
>> Boorstin - Historian
>>
>
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