Re: Clincial Pelvimetry
From: Efrain Ramirez (eramirezt@coqui.net)
Sat Aug 5 07:16:12 2006
I tell them my concerns only when there are significant findings - ie a
very short diagonal conjugate and a floating presenting vertex, most of
the time I just say to them that only The Force knows what's going to
happen.
No need for accents in that frase Ana..
Ef
>At Fri, 4 Aug 2006, Meenan, Anna wrote:
>
>I'm with you Glen. I asses the pelvis and make a mental note to
>myself if there's any question about adequacy. I generally never
>told a pt that I didn't think she could deliver vaginally because I
>always felt that it could increase her level of fear regarding labor,
>and destroy any motivation she might have to cope with labor, things
>I have always felt had a significant impact on how things went. In
>addition, I have seen (as have all of you, I'm sure) women who had
>been told they could not deliver vaginally who have gone on to spit
>one out precipitously. Ina May has seen many women who came to the
>Farm after being told they would need a c-section and went on to
>deliver vaginally.
>
>I think pelvimetry was much more useful "back in the day" of
>tubercular and rachetic pelves.
>
>Solamente mis dos centavos (dang, can't find that accent thingy).
>
>Anna Meenan, MD
>
>>Denise,
>>
>>Would you ever tell someone that based on pelvimetry that they
>>shouldn't attempt labor and vaginal delivery? If not, what good is
>>pelvimetry?
>>
>>Glen
>>
>>//SIGNED//
>>D. Glen Elrod, Maj., USAF, MC
>>Obstetrician/Gynecologist
>>Chief of Obstetrics
>>48 MDOS/SGOBO
>>RAF Lakenheath, England
>>
>>Telephone DSN: 314-226-8130
>> Comm: +44 (0) 1638 52 8130
>>
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>>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
>>DMECNM@aol.com
>>Sent: Friday, August 04, 2006 11:33 PM
>>To: Multiple recipients of list OB-GYN-L
>>Subject: Re: Clincial Pelvimetry
>>
>>In a message dated 8/3/2006 8:55:30 PM Pacific Standard Time,
>>garrys@mindspring.com writes:
>>
>>CNMs--do you perform clincial pelvimetry?
>>
>>Yes.
>>
>> Are you trained in it?
>>
>>Yes.
>>
>>Denise, CNM
>>So Cal
>>
--
“ The greatest obstacle to knowledge is not ignorance,
it is the illusion of knowledge.” Daniel J. Boorstin - Historian
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