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Re: Still another GOOD DAYFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Thu Mar 6 05:00:43 2008
At Thu, 6 Mar 2008, Dr Eberhard W Lisse wrote: > >2/150 is 1.3% not 1% > >el > Yeah El, but the sample size is small, I had only done about 75 vag breachs before the term breach results came out. My classification was easy, difficult and terrible. I define terrible as a neonatal death or poor outcome, never had a terrible. The third breach I did in private practise was family doc patient who I got called at the last minute when both he and the nurse realized the baby was breach, pleasant primip, slightly difficult delievery took about 3 minutes to deliever head with nucal arm. Anaesthesia was standing by, he almost craped his pants, family doc was in tears; when I had the baby in my hands I knew the baby was o.k.; Mom was a choir teacher I guess she wanted to fill it up as she had another 3 babies, no breaches and insisted on coming to me for the delieveries,they basically fell out. My c-section rate when I was doing trials of labor was 50%, i used oxytocin if needed but was not a risk taker and insisted on a well applied frank.
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Take care, John
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