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Re: OB: What would you do From: Richard Chudaoff (rchudacoff@mylinuxisp.com) Tue Aug 29 12:29:03 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "OB: Mixed Reviews On Drug To Prevent Preterm Birth" Previous message: Richard Chudaoff: "Re: OB: What would you do" In reply to: Andrew Folley: "Re: OB: What would you do" Next in thread: ainsron: "Re: What would you do" FYI...why not go to sleep in a call room when she is 7 cm? Personally I labor patients down so that could be as long a 4-5 hours later. I'm going to stay up a watch a monitor? I don't think so Richard Chudacoff, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Andrew Folley Sent: Tuesday, August 29, 2006 12:00 PM To: Multiple recipients of list OB-GYN-L Subject: Re: OB: What would you do Garry I would deliver her from below providing heartones remian stable. Take her to the OR and have her keep pushing. Have the pipers available and the NICU Team. andrew >From: garrys@mindspring.com (Garry E. Siegel, M.D.) >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >Subject: Re: OB: What would you do >Date: Mon, 28 Aug 2006 11:05:48 -0500 > >A 32 week primigravida, and the diagnosis of breech was not made until >she was pushing. I doubt that the head turned; rather, the diagnosis >was not made until later. > >Hard to believe? Give me a break, please. > >Garry > >At Mon, 28 Aug 2006, Dr Eberhard W Lisse wrote: > > > >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 > >> > >-- >Garry E. Siegel, M.D. >Private Practice >Roswell, GA 4&scene712634&trfc=1 Next message: art fougner, md: "OB: Mixed Reviews On Drug To Prevent Preterm Birth" Previous message: Richard Chudaoff: "Re: OB: What would you do" In reply to: Andrew Folley: "Re: OB: What would you do" Next in thread: ainsron: "Re: What would you do"

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