Ob: What would you do
From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Fri Jun 1 22:09:15 2007
29 YO P1001 at 38w admitted by CNM for induction in early AM as her
husband was going overseas. Her pregnancy has been uncomplicated.
Admitted in AM 1/5/50/-2, Pitocin begun and AROM around 1300.
At 1530 CNM calls--arm in vagina.
On my exam, 5-6/50 vtx/arm past elbow in vagina, easily reduced.
Pit resumed, patient sat up.
Cx. at 1750 7/80/-2 reasonably applied to cervix, and unchanged two
hours later. The hand is gone, EFW 2900g.
What's next?
Garry
--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA
