Re: More posterior than you think

From: FRANCES WREN (fwren@shaw.ca)
Sun Jan 6 13:14:35 2008


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how did the baby with the sub-galeal hemorrhage do. I had one years ago...horrible horrible...I watched the head expand as I stood there... babe died eventually... it put me off vacuums for OT's and high ups for quite a while.. in fact I do not put the vacuum on an OT to this day. frances wren

>----- Original Message -----
From: johnprov@sympatico.ca (Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.) Date: Sunday, January 6, 2008 5:17 am Subject: Re: More posterior than you think To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>

> 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
>

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<DIV>how did the baby with the sub-galeal hemorrhage do.</DIV> <DIV>I had one years ago...horrible horrible...I watched the head expand as I stood there...</DIV> <DIV>babe died eventually...</DIV> <DIV>it put me off vacuums for OT's and high ups for quite a while..</DIV> <DIV>in fact I do not put the vacuum on an&nbsp;OT to this day.</DIV>

><DIV>frances wren<BR><BR>----- Original Message -----<BR>From: johnprov@sympatico.ca (Dr. John Provatopoulos&nbsp; B.Sc. M.D.C.M. F.R.S.C.)<BR>Date: Sunday, January 6, 2008 5:17 am<BR>Subject: Re: More posterior than you think<BR>To: Multiple recipients of list OB-GYN-L &lt;ob-gyn-l@dns.obgyn.net&gt;<BR><BR>&gt; The mother of the infant<BR>&gt; who developed the subgaleal haematoma was a<BR>&gt; nullipara who had a prolonged second stage of labour<BR>&gt; lasting 170 minutes and who had been pushing for about<BR>&gt; 90 minutes without significant descent of the head.<BR>&gt; Fetal position was occipitotransverse and the station of<BR>&gt; the head was assessed to be at the level of the ischial<BR>&gt; spines. The vacuum cup was applied correctly to the<BR>&gt; fetal scalp and slow descent was achieved over eight<BR>&gt; contractions. Duration of the vacuum extraction was 21<BR>&gt; minutes and the birth was complicated by shoulder<BR>&gt; dystocia. The infant's birthweight was 4620 grams.<BR>&gt; <BR>&gt; Sounds like one of my typical last minute consults.<BR>&gt; <BR>&gt; http://www.clinicalinnovations.com/literature/VaccaArticle.pdf<BR>&gt; <BR>&gt; --<BR>&gt; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Take care, John<BR>&gt; </DIV>

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