Re: April fools' marginal placenta previa.

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Mon Apr 2 11:49:12 2007


FWIW, our MFMs quote 2 cm. as the cutoff for allowing a vaginal delivery.

Recently saw a scan on a CNM patient, 37 weeks, 9 to 12 mm from the os, posterior placenta, previous vaginal delivery then LTC/S for breech.

I got this scan on Friday at 3 PM, called her, and advised a section this week or if labors, and explained why. And I quote, "The midwife said it was OK." I told her that I was the obstetrician, and, well, my opinion was the senior one in this instance and that she was mistaken.

She did not like my advice, and who knows what will happen when she comes in this week to see the CNM.

Garry

At Mon, 2 Apr 2007, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. wrote: >
>At Sun, 1 Apr 2007, R. Daniel Braun wrote:
>>
>>Double Setup WHY???????????????????
>>Just cut.
>>Dan
>>
>The patient was expecting a nice midwife no intervention birth and
>really did not want to have c-section; after the double setup I could
>honestly tell her sorry that will not happen today.
>
>--
> Take care, John
>

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




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