|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: Clincial PelvimetryFrom: DMECNM@aol.comSat Aug 5 10:58:46 2006
In a message dated 8/4/2006 5:09:06 PM Pacific Standard Time, Darryl.elrod@LAKENHEATH.AF.MIL writes: Would you ever tell someone that based on pelvimetry that they shouldn't attempt labor and vaginal delivery? If not, what good is pelvimetry? Depends. If the pelvis is horribly contracted, then yes. I would recommend that she not labor BUT I also get the MD to examine her as well. Afterall, he is the one who is going to give her informed consent. Not me. If I really feel there is a real issue with the pelvis then I think she has a right to know. With regard to pelvimetry that is questionable, then the main reason I do it is for me. I write a note for myself to trigger my memory when she is in labor. If she goes into labor when another CNM is on, then the note is there. I believe that any piece of information we can get regarding the woman's pelvis, her baby, her body type will help us make decisions when decisions need to be made. Most of the time the only thing I need to decide is what book I'm going to read while she labors. This is a good thing. Why do some docs get ultrasounds at 38 weeks for EFW? We know that an ultrasound EFW at this gestation is notoriously inaccurate. If the EFW is 5500gms then I think most docs would recommend a section. But an EFW of 4000-4500gms with the inaccuracy of that ultrasound figured in, I think that many would let her labor and see what happens. Then I get the 4'8" lady from Guatemala with 4500gm EFW and a platypelloid pelvis - this seems pretty black and white. It is the grey area that takes a lot of time and thought. It is because of the grey area that I do pelvimetry and write my "trigger" notes. Denise, CNM So Cal
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Jul 2 04:44:36 2008 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.