Re: active tracing with decell
From: Raymond Stephen (Stephen.Raymond@dhhs.tas.gov.au)
Wed Dec 19 22:00:03 2007
Compare the number of times you have seen a true knot at delivery of a
well child and the number of cases of intrauterine death due to a true
knot. Further, because of the turgidity of the cord due to its blood
pressure there is room for doubt that cord accidents are the cause of
death rather than the antecedent of death from other blood flow
problems.
Steve
________________________________
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
--
________________________________
westsidebirthservice@juno.com
Sent: Thursday, 20 December 2007 1:50 AM
To: Multiple recipients of list OB-GYN-L
Subject: Re: active tracing with decell
Could be true knot that isn't fatal. Your'e going to deliver "just in
case?"
Just wondering where the dividing line is between the "every birth is a
disaster waiting to happen and can't be diagnosed as normal until after
the event" and "birth is a natural event with some fatal outcomes due to
(someties cord) accidents." And what of the sequela of delivering a
preterm baby because of the fear of a fatal cord accident?
Louana
-- Joe <forcep@intercom.net> wrote:
Excellent point, Dan. Could have true knot which could be fatal. Joe C
R. Daniel Braun wrote:
> That makes no sense at all. If you have cord entanglement
theoretically
> it could at any time become so severe that it kills the baby. So
> logically you have to either monitor her continuously until delivery
or
> ignore it. NST's and CST's don't predict anything about cord problems,
> only about UPI. Therefore they are of no benefit.
>
> IMHO
> Dan
>
> On Dec 18, 2007 8:05 PM, Raymond Stephen
> <Stephen.Raymond@dhhs.tas.gov.au
> <mailto:Stephen.Raymond@dhhs.tas.gov.au>> wrote:
>
> And, you're going to mess up her sugars. Ask yourself shy she had
the
> deceleration - can't be placental insufficiency, no IUGR, so it
has to
> be an intermittent cord compression,? entanglement, probably won't
> happen again, why not just check CTG regularly?
>
> -----Original Message-----
> From: ob-gyn-l@obgyn.net <mailto:ob-gyn-l@obgyn.net>
> [mailto:ob-gyn-l@obgyn.net <mailto:ob-gyn-l@obgyn.net>] On Behalf
Of
> Richard Chudacoff
> Sent: Wednesday, 19 December 2007 11:51 AM
> To: Multiple recipients of list OB-GYN-L
> Subject: RE: active tracing with decell
>
> That is true, especially in this case with GDM. But hey, that is
why I
> don't
> deliver anymore
>
> Richard Chudacoff, MD, FACOG
>
> -----Original Message-----
> From: ob-gyn-l@obgyn.net <mailto:ob-gyn-l@obgyn.net>
> [mailto:ob-gyn-l@obgyn.net <mailto:ob-gyn-l@obgyn.net>] On Behalf
Of Dr.
> John
> Provatopoulos B.Sc. M.D.C.M. F.R.S.C.
> Sent: Tuesday, December 18, 2007 4:42 PM
> To: Multiple recipients of list OB-GYN-L
> Subject: Re: active tracing with decell
>
> At Tue, 18 Dec 2007, Richard Chudacoff wrote:
> >
> >Steroids in the 34th week? Isn't that too late?
> >
> >--
> >Richard Chudacoff, MD, FACOG
> >
> 34 wks is on the border for celestone, the problem with 34 wk
delievery
> is chance of resp support for a few days is significant. Would I
fault
> anyone for delievery, no, especially if that's what the mom wants
after
> explaining the risks.
>
> --
> Take care, John
>
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> --
> 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
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