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Re: STAT Breech!From: John Perry (docjcp@hotmail.com)Wed Jan 28 23:57:12 2009
I just got done this week laboring a frank breech to delivery vaginally who had a previous ceserean section for a breech. She was opposed to having another C/S. Everything went well. Everyone was in a uproar over it. The chairman of the department even came to visit me during the day to check on the status. (Ha, Ha) My old partner when I hired him out of residency had never seen a breech delilvery. I'm in the over52 club and have done breech deliveries for years. may they continue. JCP> Date: Mon, 26 Jan 2009 23:26:08 -0600> From: islesannie@gmail.com> To: ob-gyn-l@mail.obgyn.net> Subject: Re: STAT Breech!> > Andrew, I think the division of the generations of Obs is really >52> would simply have delivered vaginal. There was a big break between me> and those who cam behind me and came into the practice here in Keene.> Breech on perineum: deliver as presented. Most younger than I never got> trained well in the after-coming head and occasional pipers forceps> application.> > I had a new grad from residency (has been in town 15 years?) who had> NEVER seen a vaginal breech - when I had her in the room as the 2nd OB> for twins with the second delivered by podalic extraction. She was> "like, wow, I've never seen a vaginal breech." And I thought OMG - you> were supposed to be experienced enough to help!> > JEB> > At Mon, 26 Jan 2009, Andrew Folley wrote:> >> >Scenario is not uncommon. the last generation of OBs (>65 yo) would simply have delivered vaginal. Our generation (35-65) would at seriously consider delivering vaginal. The "present generation" (new grads to 35) perhaps have seen one vaginal breech in 4 years of residency and are left with no option other than emergency c-section. agf> >> > --> Joanne Bulley, MD> solo gyn> Keene, owitworks_012009
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