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Re: obstructed labour From: R. Daniel Braun (rd.braun@gmail.com) Sun Dec 30 14:00:08 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: R. Daniel Braun: "Re: obstructed labour" Previous message: R. Daniel Braun: "Re: secondary post partum hemorrhage" In reply to: AllanHo@aol.com: "Re: obstructed labour" Next in thread: GIN11153@aol.com: "Re: obstructed labour" I said as a rule. I didn't say always. One should have a reason to "violate" a rule. IOW think about it first. In most premie breeches, one can very easily do a transverse incision. However there are those situations where you look at the uterus and the baby and say "Gee, maybe a I should do a BIG classical for this one. You need to keep in mind the fact that the reason you are there is to create an atraumatic delivery. I have seen quite a few cesareans that were a lot more traumatic(to the fetus) than any vaginal delivery. Dan On Dec 30, 2007 2:20 AM, <AllanHo@aol.com> wrote: > In a message dated 12/29/2007 6:47:05 AM Eastern Standard Time, > rd.braun@gmail.com writes: > > As a rule in obstetrics. the uterine incision should be PERPENDICULAR to > the long axis of the fetal body. In other word, it should be vertical in a > transverse lie. > > Dan > > I too was under the impression that a midline incision would be preferred > in order to avoid the risk of having nothing to grab onto to extract the > baby. But is a perpendicular incision always preferred? What about a > premie breech? > > Allan > -- 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 Next message: R. Daniel Braun: "Re: obstructed labour" Previous message: R. Daniel Braun: "Re: secondary post partum hemorrhage" In reply to: AllanHo@aol.com: "Re: obstructed labour" Next in thread: GIN11153@aol.com: "Re: obstructed labour"

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