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Re: More posterior than you think From: Douglas Krell (dkrell@msn.com) Sun Jan 6 07:53:31 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Meenan, Anna: "Re: More posterior than you think" Previous message: Meenan, Anna: "Re: More posterior than you think" In reply to: Meenan, Anna: "Re: More posterior than you think" Reply: Meenan, Anna: "Re: More posterior than you think" What is the ALSO course? -- Douglas Krell MD > Date: Sun, 6 Jan 2008 08:29:27 -0600 > From: annam@uic.edu > To: ob-gyn-l@dns.obgyn.net > Subject: Re: More posterior than you think > > In the ALSO course, we teach that a vacuum should not be attempted > for more than 3 contractions. Do OB's frequently use this many > attempts with a KIWI? > > Anna Meenan, MD > > >The mother of the infant > >who developed the subgaleal haematoma was a > >nullipara who had a prolonged second stage of labour > >lasting 170 minutes and who had been pushing for about > >90 minutes without significant descent of the head. > >Fetal position was occipitotransverse and the station of > >the head was assessed to be at the level of the ischial > >spines. The vacuum cup was applied correctly to the > >fetal scalp and slow descent was achieved over eight > >contractions. Duration of the vacuum extraction was 21 > >minutes and the birth was complicated by shoulder > >dystocia. The infant's birthweight was 4620 grams. > > > >Sounds like one of my typical last minute consults. > > > >http://www.clinicalinnovations.com/literature/VaccaArticle.pdf > > > >-- > > Take care, John > Next message: Meenan, Anna: "Re: More posterior than you think" Previous message: Meenan, Anna: "Re: More posterior than you think" In reply to: Meenan, Anna: "Re: More posterior than you think" Reply: Meenan, Anna: "Re: More posterior than you think"

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