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Re: OB: What would you do From: Dr Eberhard W Lisse (el@lisse.NA) Mon Aug 28 00:35:36 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr Eberhard Lisse: "WMI" Previous message: Dr Eberhard W Lisse: "Re: compensation" In reply to: Garry E. Siegel, M.D.: "OB: What would you do" Next in thread: Garry E. Siegel, M.D.: "Re: OB: What would you do" Reply: Garry E. Siegel, M.D.: "Re: OB: What would you do" I am not sure I am following you, A PRIMIGRAVIDA arrives at your facility in labour (7 cm with bulging membrans, you examine her (presumably a little while later) and at 9 cm you diagnose VERTEX. Then you go back to sleep (which in itself, at 9cm, I find remarkable) and you are wanting to tell us that the well enganged head (you ruptured membranes) has turned? I find this all hard to believe. I reckon you can only do a C/S because she doesn't seem to be able to push properly, even if the buttocks are crowning, but you'll find it'll be difficult to get hold of the baby and will end up with massive (extension of the) uterine incision. Is this the one who asked at commencement of ANC whether you have malpractice insurance? :-)-O el In message <200608280214.k7S2EhN26597@dns.obgyn.net>, Garry E. Siegel, M.D. wri tes: > 33 YO P0 at 32w4d presents in PTL at 7 cm/Bulging BOW. > > On my exam, AROM--9 cm., vertex--just got epidural. > > Called to delivery from sleep--+3 station, and after a couple of minutes > and very good pushes, she's +4, and, by the way, frank breech. > > Her epidural is such that between pushes the presenting part recedes > inside the introitus. I do think that there is time to do a section, if > desired. > > Your thoughts. . . > > Garry > > -- > Garry E. Siegel, M.D. > Private Practice > Roswell, GA > Next message: Dr Eberhard Lisse: "WMI" Previous message: Dr Eberhard W Lisse: "Re: compensation" In reply to: Garry E. Siegel, M.D.: "OB: What would you do" Next in thread: Garry E. Siegel, M.D.: "Re: OB: What would you do" Reply: Garry E. Siegel, M.D.: "Re: OB: What would you do"

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