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Re: Difficult twins From: Andrew Folley (agfolley@hotmail.com) Sat Dec 30 17:24:04 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Larry Glazerman: "Re: Difficult twins" Previous message: Andrew Folley: "Re: Difficult twins" In reply to: Andrew Folley: "Re: Sheehan's syndrome" Next in thread: Larry Glazerman: "Re: Difficult twins" Reply: Larry Glazerman: "Re: Difficult twins" Reply: Dr Eberhard Lisse: "Re: Difficult twins" what do you do??? On call last night. Induced twins for my partner. G2P1 38 weeks. Vertex/vertex di/di. Patient with epidural. First baby comes out 6:00 pm vacuum outlet assist. no problems. Next baby vertex at -2 cx 5-6 cm. Of course nurse says heart tones are down in 50-60s. Time 6:05. US shows heart rate is low. Mom pushes baby not coming out. AROM second twins bag clear fluid. Could not apply vacuum due to membranes, placenta from first baby in way etc. 6:08 pm heart tones still down. Nurse says can not find heart rate. Mom looks at dad, dad looks at me, I look to see if my lawyer has showed up yet. What do you do?????????????????andy >From: "Andrew Folley" <agfolley@hotmail.com> >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >Subject: Re: Sheehan's syndrome >Date: Sat, 30 Dec 2006 10:33:11 -0600 > >Furthermore, it would be unlikely that she would be able to breast feed if >there were true pituitary necrosis. agf > >>From: DoctorJoe@aol.com >>Reply-To: ob-gyn-l@obgyn.net >>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >>Subject: Re: Sheehan's syndrome >>Date: Sat, 30 Dec 2006 07:49:01 -0600 >> >>In a message dated 12/29/06 5:59:49 PM, ljmidwife@aim.com writes: >> >> > I know that Sheehan's is rare (1:10,000) but also know symptoms can >>show up >> > weeks to years after the occurrence. >> > None of my research talked about the extent of blood loss that can >>result >> > in Sheehan's. Does anyone on the list have experience with this and can >>fill >> > me in? >> > >> >>Sheehans occurs when there is such dramatic blood loss that the patient >>"shocks out" and the pituitary necroses for lack of blood supply. In your >>patient's >>case, with only 2 units of blood and a Hgb of 6+, I doubt that she's >>affected. >> >>Joe P. >> > >_________________________________________________________________ >Type your favorite song. Get a customized station. Try MSN Radio powered >_________________________________________________________________ >by Pandora. http://radio.msn.com/?icid=T002MSN03A07001 > _________________________________________________________________ Dave vs. Carl: The Insignificant Championship Series.  Who will win? -- _________________________________________________________________ http://clk.atdmt.com/MSN/go/msnnkwsp0070000001msn/direct/01/?href=http://davevscarl.spaces.live.com/?icid=T001MSN38C07001 Next message: Larry Glazerman: "Re: Difficult twins" Previous message: Andrew Folley: "Re: Difficult twins" In reply to: Andrew Folley: "Re: Sheehan's syndrome" Next in thread: Larry Glazerman: "Re: Difficult twins" Reply: Larry Glazerman: "Re: Difficult twins" Reply: Dr Eberhard Lisse: "Re: Difficult twins"

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