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Re: Difficult twins From: Larry Glazerman (l.glazerman@rcn.com) Sat Dec 30 18:01:30 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Re: ABOG Board Recertification Time" Previous message: DoctorJoe@aol.com: "Re: Difficult twins" In reply to: DoctorJoe@aol.com: "Re: Difficult twins" Next in thread: Garry E. Siegel, M.D.: "Re: Difficult twins" Reply: Garry E. Siegel, M.D.: "Re: Difficult twins" Reply: Ina May Gaskin: "Re: Difficult twins" Would you do a podalic version at 6 cm? I'd really worry about head entrapment. On Dec 30, 2006, at 7:44 PM, DoctorJoe@aol.com wrote: > > In a message dated 12/30/06 6:26:31 PM, agfolley@hotmail.com writes: > >> 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????????????????? > > C/S immediately or internal podalic version and extraction are the > only things that come to mind. > > Joe P. > -- Larry R. Glazerman, MD, FACOG St. Luke's Center for Advanced Gynecologic Care 250 Cetronia Road Suite 305 Allentown PA 18104 484-223-3279 484-223-2830 FAX glazerl@slhn.org Next message: Garry E. Siegel, M.D.: "Re: ABOG Board Recertification Time" Previous message: DoctorJoe@aol.com: "Re: Difficult twins" In reply to: DoctorJoe@aol.com: "Re: Difficult twins" Next in thread: Garry E. Siegel, M.D.: "Re: Difficult twins" Reply: Garry E. Siegel, M.D.: "Re: Difficult twins" Reply: Ina May Gaskin: "Re: Difficult twins"

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