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Re: Vaginal Birth after uterine perforation? From: ainsron (ainsron@sbcglobal.net) Thu Aug 9 10:59:54 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Bernard Cristalli: "Re: elective breech deliveries" Previous message: DoctorJoe@aol.com: "Re: elective breech deliveries" In reply to: Joe Cutchin: "Re: Vaginal Birth after uterine perforation?" Next in thread: ainsron: "Re: Vaginal Birth after uterine perforation?" >From what I understand, the reassuring FHR patterns have an excellent correlation with good fetal outcome. Ominous tracings have strong correlation with poor fetal outcome and usually by the time it gets to that point, it is too late to improve the outcome, hence the lack of improvement in neonatal encephalopathy over the years. The tracings in between don't have a strong correlation with fetal outcome, require confirmatory testing to confirm fetal status and are lack of correlation is the primary reason for increased C/S for fetal distress, when in fact the baby comes out with excellent Apgar score and no evidence of acidosis. The ACOG Update tape for this month was on Risk reduction with fetal monitoring and was an excellent review of the physiology of FHR monitoring and where we are at this time. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Joe Cutchin Sent: Thursday, August 09, 2007 6:53 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Vaginal Birth after uterine perforation? El , you are correct. Has there been a study of outcomes with EFM with "non reassuring tracings" ? What a subjective non-scientific diagnosis. Joe C art fougner, md wrote: > And it doesn't appear they'll be ditching those monitors anytime soon. > Somehow this applies: > > The Moving Finger writes; and, having writ, > Moves on; nor all your Piety nor Wit > Shall lure it back to cancel half a Line, > Nor all your Tears wash out a Word of it. > -- The Rubaiyat of Omar Khayyam > > Art > > At Thu, 09 Aug 2007, Dr Eberhard Lisse wrote: > >>I am not doing Vaginal Birth After Surgery (VABS) any more, since I can >>not do the 17 minutes mandated for VABC. >> >>And, I do not think, that the way forward in reducing Section Rates >>is by doing VBAS, since the rate is predominantly defined by non >>reassuring tracing anyway. >> >>el >> >>on 8/9/07 4:36 AM Efrain Ramirez said the following: >> >>>IMHO, any injury to the uterine body is a potential source of uterine >>>rupture - here are some more.. >>> >>>Ef > > -- > art fougner, md > "May The Wings of Liberty Never Lose a Feather." - Jack Burton > Next message: Bernard Cristalli: "Re: elective breech deliveries" Previous message: DoctorJoe@aol.com: "Re: elective breech deliveries" In reply to: Joe Cutchin: "Re: Vaginal Birth after uterine perforation?" Next in thread: ainsron: "Re: Vaginal Birth after uterine perforation?"

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