Re: Twins; route of delivery

From: apgar10@qwest.net
Thu Dec 14 10:01:41 2006


There technically is a discordance, but it is the 40th versus 70th percentile - so more reassuring. But that is the reason that I was a little reluctant if I had to do a breech extraction on the larger second twin. I have done many extractions, including last night. Lynn Sent from my Verizon Wireless BlackBerry

-----Original Message----- From: "R. Daniel Braun" <rd.braun@gmail.com> Date: Thu, 14 Dec 2006 10:29:49 To:"Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net> Subject: Re: Twins; route of delivery

Gee, I actually agree with "EL" for once.   Lynn, Aren't those EFW's awful close to discordant?  Any TTTS?  Ident or Frat??   Dan

  On 12/14/06, Richard Chudacoff <rchudacoff@mylinuxisp.com: <mailto:rchudacoff@mylinuxisp.com> > wrote: Why...why can't it also be for the comfort of the hard working obstetrician?

Richard Chudacoff, MD, FACOG

-----Original Message----- From: ob-gyn-l@obgyn.net: <mailto:ob-gyn-l@obgyn.net> [mailto:ob-gyn-l@obgyn.net: <mailto:ob-gyn-l@obgyn.net> ] On Behalf Of Dr. NaseemAhmad Sent: Thursday, December 14, 2006 9:02 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Twins; route of delivery

I thought it was patients comfort first and then your own.  I am certain the patient would be much happier with a vaginal delivery.  el seems to go for a section for every delivery and vaginal birth is abnormal to him!!!!!!!!no offence

naseem ahmad md frcog

At Thu, 14 Dec 2006, Dr Eberhard W Lisse wrote: >
>Cesar of course :-)-O Why do you ask?
>
>Actually I would go with what one is most comfortable with..
>
>el
>
>Bernard Cristalli wrote:
>> Why do you ask?
>> VD of course.
>> Bernard
>>
>> Lynn Montgomery a écrit :
>>>
>>> Opinions please:
>>>
>>> G5 P4 with four previous vaginal births – largest 10 lbs 10 oz.
>>> Currently at 34.5 weeks with twins. Twin A, EFW of 4 lbs 13 oz and
>>> cephalic presentation. Twin B, EFW 5 lbs 13 oz and breech presentation.
>>>
>>> Route of delivery?
>>>
>>> Lynn
>>>
>>> Lynn D. Montgomery, M.D.
>>>
>>> Obstetrics & Gynecology, Maternal-Fetal Medicine
>>>
>>> The Birth Center/Rocky Mountain Women's Health
>>>
>>> 1211 S. Reserve St.
>>>
>>> Missoula, Montana, 59801
>>>
>>> 406-549-0978
>>>
>>> fax 406-549-0987
>>>
>>> e-mail:

apgar10@qwest.net: <mailto:apgar10@qwest.net> >>>

--
R. Daniel Braun

       "The way to health is an aromatic bath and scented massage everyday".                                 Hippocrates





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