Re: Difficult twins Outcome

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Sun Dec 31 14:27:36 2006


Well done.

Garry

At Sun, 31 Dec 2006, Andrew Folley wrote: >
>I was in the OR for the procedure. Epidural was in place. Anesthesia
>present. The only thing mission was the Section table was not set up. With
>the uncertainty of heart tones I decided the safest and most efficient mode
>of delivery would be internal podalic version with double footling breech
>extraction. Apgars 4,8 and base excess <4. 10 minutes elapse from baby 1
>and baby 2.
>Unfortunately this is part of the dying art of obstetrics. I am doubtful
>that the majority of recent OB grads in the past 10 years would have chosen
>this option. Thanks for your input.
>
>>From: Bernard Cristalli <bcrist@club-internet.fr>
>>Reply-To: ob-gyn-l@obgyn.net
>>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>>Subject: Re: Difficult twins
>>Date: Sun, 31 Dec 2006 08:35:15 -0600
>>
>>Yes, me too.
>>I'm pretty sure he performed a c-section.
>>Bernard
>>
>>Dr Eberhard Lisse a écrit :
>>>In the situation described I don't think he'll get it turned...
>>>
>>>I'd like to read what he actually did, and what the outcome is...
>>>
>>>el
>>>
>>>on 12/31/06 3:10 PM Bernard Cristalli said the following:
>>>
>>>>Breech extraction.
>>>>Quicker than a C-section and mom has already proved she can be delivered
>>>>vaginally.
>>>>BC
>>>>

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA




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