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Re: Arrest of dilatationFrom: ainsron (ainsron@sbcglobal.net)Wed Aug 2 18:40:11 2006
Place IUPC to document adequate contractions, no progress in 1-2 hours. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Wednesday, August 02, 2006 3:22 PM To: Multiple recipients of list OB-GYN-L Subject: Ob: Arrest of dilatation 21 YO P0 at term with mild gestational hypertension was ripened and induced. Admission, 1.5/50--cervidil 8 PM. SROM next day 0830; Pitocin begun, epidural eventually 1500--4 cm/80% (CNM) 1700--no change per me, EFW 3500g, narrow arch, tight spines, and easily reached diagonal conjugate. Station -3, unchanged. Told patient/husband of lack of progress and poor pelvic architecture. IUPC immediately shows adequate labor, C/S discussed and advised. 1900--no change, labor very adequate, C/S advised and refused. What's next? How long do you wait before making the diagnosis of arrest of dilatation? Garry
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
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