Re: Ob: What would you do

From: R. Daniel Braun (rd.braun@gmail.com)
Fri Jun 1 22:27:45 2007


A G2P1 has gone from 5-6 up to 7 cm in 2 hours. Slightly below the curve. Wt. of 1st baby? Adequacy of contractions?? FHR reassuring??? If all those favorable continue pit. Multips frequently stay high until after they get complete.

Dan

On 6/1/07, Garry E. Siegel, M.D. <garrys@mindspring.com> wrote: >
> 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
>

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

R. Daniel Braun

"Science without Religion is LAME; Religion without Science is BLIND" Einstein 1941





use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Tue Dec 2 04:53:44 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.