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Re: Difficult twins Outcome From: Ina May Gaskin (midwifeim@earthlink.net) Sun Dec 31 18:25:15 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: Difficult twins Outcome" Previous message: Ina May Gaskin: "Re: Difficult twins" In reply to: Andrew Folley: "Re: Difficult twins Outcome" Next in thread: Dr Eberhard Lisse: "Re: Difficult twins" Good call, Andrew. It's doubtful that such a good result could have been achieved with a stat section, given the situation. I was taught internal podalic version by a family physician for twin B (when necessary) back in '73. I couldn't have predicted then that I would live in a time when obstetricians would no longer be taught this skill, considered essential for so many centuries. Are there any other professions that have discarded the teaching of core skills to new entrants? I can't think of one. Some countries are reviewing this trend (Czech Republic, Iceland and maybe some more Scandinavian countries, for instance). I wish we could here. Ina May On Dec 31, 2006, at 12:35 PM, 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 >>>> >>> > > US&source=hmemailtaglinenov06&FORM=WLMTAG > Next message: DoctorJoe@aol.com: "Re: Difficult twins Outcome" Previous message: Ina May Gaskin: "Re: Difficult twins" In reply to: Andrew Folley: "Re: Difficult twins Outcome" Next in thread: Dr Eberhard Lisse: "Re: Difficult twins"

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