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Re: Today was a GOOD day! From: Meenan, Anna L. (annam@uic.edu) Fri Feb 29 09:47:47 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Meenan, Anna L.: "Re: Today was a GOOD day!" Previous message: R. Daniel Braun: "Re: Today was a GOOD day!" In reply to: R. Daniel Braun: "Re: Today was a GOOD day!" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Today was a GOOD day!" I assume you're being facetious Dan. Broke the bag because heart tones were not picking up and needed to put on a spiral. By the time they found me an amnihook she was complete anyway. Art and Joe, what exactly would the Board object to here? Just curious. Putting a vacuum on the baby? Mom not diabetic, EFW nowhere near 4500g, just over 4000 g. Pushing and descending well with plenty of room, just didn't want to keep watching the deep variables, and had an OB on the unit who agreed. The Board would have preferred we section her then? Would have taken longer. If she had been sky-high and not descending, we would have sectioned her, of course. I won't put a vacuum on a big baby if it is stuck, but I will for fetal distress if there is good descent. The rest of the management decisions were all made before I arrived yesterday AM, up through the decision to let her sit after the cervidil was pulled. Would the Board have wanted her sectioned then for a couple of decels due to hyperstimulation that resolved after the cervidil was pulled? When she contracted on her own, heart tones were fine. Would they have wanted the weekend crew to bump a true emergency to section her on Saturday? She was only 41 weeks, with good NST and AFI and really did NOT want to be sectioned. Not sure of what the decision-making was re: timing of the induction, but I'm guessing that Wednesday night was the first open slot in the schedule for an elective induction. Our unit is SWAMPED lately. The other two hospitals in town have pretty much opted out of the public aid OB business and left ours to pick up the slack. Real glad that I've never had OB care from any of the OB's on the Board. Louana, baby weighed 8 lb 3 oz. Anna Meenan, MD On Fri, February 29, 2008 9:51 am, R. Daniel Braun wrote: > And why did you break the BOW??? You already had decels earlier and now > you > take away the baby's protective mechanism???? > > Yes I know everyone FEELS that breaking the bag helps things along. BUT > ALL > of the STUDIES show that it does NOT!!!!!! > > Dan > > On Thu, Feb 28, 2008 at 11:38 PM, Anna Meenan, MD <annam@uic.edu> wrote: > >> The daughter of the medical assistant at the outreach clinic I used to >> staff was 41 weeks pregnant. Was brought in Saturday for induction and >> I was bummed because I don't work weekends and thought I would miss the >> delivery. Turned out baby was in transverse lie when she arrived and >> decision was made to section her. She waited and waited and waited, but >> one emergency after another came up and her elective section just kept >> getting pushed back. Finally they sent her home and told her to check >> in the office Monday for another section date. When she got to the >> office, she was vertex, so they scheduled her for induction last night >> (but with great trepidation because EFW on U/S was >4000g). She got >> Cervidil but after 8 hours she had some deep decels so they had to pull >> the cerv Next message: Meenan, Anna L.: "Re: Today was a GOOD day!" Previous message: R. Daniel Braun: "Re: Today was a GOOD day!" In reply to: R. Daniel Braun: "Re: Today was a GOOD day!" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Today was a GOOD day!"

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