Re: April fools' marginal placenta previa.

From: R. Daniel Braun (rd.braun@gmail.com)
Mon Apr 2 13:48:34 2007


I bet someone of "Stature" said "Gee, I think if it isn't at least 3 cm away, it could bleed a lot." And hence it has been so ever since. Dan

On 4/2/07, ainsron <ainsron@sbcglobal.net> wrote: >
> What is their rationale for a 2cm cutoff??
>
> Ronald E. Ainsworth, MD, FACOG
>
> -----Original Message-----
> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E.
> Siegel, M.D.
> Sent: Monday, April 02, 2007 9:52 AM
> To: Multiple recipients of list OB-GYN-L
> Subject: Re: April fools' marginal placenta previa.
>
> 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
>

--
R. Daniel Braun, MD  FACOG(L)  CMT
Professor Emeritus
Dept. of Obstetrics and Gynecology
Indiana U. School of Medicine

R. Daniel Braun

"The way to health is an aromatic bath and scented massage everyday". Hippocrates





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