Re: Face to Pubis
From: Andrew Folley (agfolley@hotmail.com)
Sun Jul 22 09:39:15 2007
Theoretically mentum posterior can not deliver vaginally due to the
inability of the neck to furter extend and "turn the corner" on the pubic
bone. Thus no problem with Mentum anterior presentations or "face to
pubis". agf
>From: "Meenan, Anna" <annam@uic.edu>
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: Re: Face to Pubis
>Date: Sun, 22 Jul 2007 09:23:06 -0500
>
>Are we talking OP or mentum anterior face presentation here el? I've never
>heard the term face to pubis.
>
>Either way, allow labor to continue and monitor closely. Will most likely
>deliver eventually in a multip. Had a nice face presentation delivery
>several years back. The OB had wanted to section her and was on his way in
>to the hospital. The residents and student ran down the hall for the
>delivery of a G9P8, so I was all by myself in the room when the little face
>suddenly appeared at the introitus. It would have made a cute picture
>because mom was on all-fours so the baby was actually looking directly at
>me.
>
>>The regular procedure is a VD in this MP (mento-pubian) presentation, been
>>here, done that, but it's a lost knowledge.
>>Bernard
>>
>>Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. a écrit :
>>>At Sun, 22 Jul 2007, Dr Eberhard Lisse wrote:
>>>
>>>>Had a C/S this morning when the (Junior) Resident asked me
>>>>for help on a State Patient, G2P1M0 38/40, with a face
>>>>to pubis presentation at the spines.
>>>>
>>>>What had her Consultant told her to do?
>>>>
>>>>What did I do?
>>>>
>>>>:-)-O
>>>>
>>>>el
>>>>
>>>
>>>Hopefully not put the vacum on.
>>>
>>>El surprise me and tell me you did a forceps rotation instead of the
>>>usual bypass procedure, I would do a trial if the patient was keen, she
>>>is a multip once it turns it will come flying out. Spontaneous op or
>>>assisted op delieveries should come with a voucher for the 30 minute
>>>repair that usually follows.
>>>
>>>--
>>> Take care, John
>>>
>
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