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no subject received Sat, 11 Nov 2006 07:56:00 -0600From: jsbowpat@aol.comSat Nov 11 06:56:03 2006
My partner (OB/GYN) had a patient in her practice with a single hip replacement several years ago. The orthopedic surgeon also said there would be no problem for a vaginal birth. Pain management considerations were not unusual, with respect to the labour. Other than avoiding abducting the thighs (which overly rotates the hip) or an extreme McRobert's position (knee no > 90 degrees at the hip) in order to avoid injuring the hip, it should not be any problem. In addition, she doubts that there is much literature on labour/birth and double hip replacements, since it is a procedure not typically seen in young, healthy childbearing women. Susan Paterson CNM Bay City MI Content-Transfer-Encoding: 7bit Content-Type: text/html; charset="us-ascii"
My partner (OB/GYN) had a patient in her practice with a single hip replacement several years ago. The orthopedic surgeon also said there would be no problem for a vaginal birth. Pain management considerations were not unusual, with respect to the labour. Other than avoiding abducting the thighs (which overly rotates the hip) or an extreme McRobert's position (knee no > 90 degrees at the hip) in order to avoid injuring the hip, it should not be any problem. In addition, she doubts that there is much literature on labour/birth and double hip replacements, since it is a procedure not typically seen in young, healthy childbearing women.
Susan Paterson CNM
Bay City MI
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