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Re: BPP 2 and reassuring tracing From: Glen Elrod (dr99645@yahoo.com) Thu Apr 23 18:23:38 2009 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Andrew Folley: "Re: BPP 2 and reassuring tracing" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: BPP 2 and reassuring tracing" In reply to: rmodugno@aol.com: "Re: BPP 2 and reassuring tracing" Next in thread: Andrew Folley: "Re: BPP 2 and reassuring tracing" All Hell broke loose is the repetative lates, slow return to baseline...essentially nothing reassuring at all in the tracing. We kept her from watching though. Objection is probably that even though she is an L&D nurse she really had wanted a midwifery center 'home birth' and possible water birth. She just knew pitocin was more uncomfortable. I monitored her during the breast pump, but other than that you can't control it that I know of. We did 30 minutes, 15 min rest, 15 on, 15 off etc for 2 hours. ________________________________ From: "rmodugno@aol.com" <rmodugno@aol.com> -- ________________________________ To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net> Sent: Wednesday, April 22, 2009 5:59:54 PM Subject: Re: BPP 2 and reassuring tracing -----Original Message----- From: Glen Elrod <dr99645@yahoo.com> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net> Sent: Wed, 22 Apr 2009 2:26 pm Subject: Re: BPP 2 and reassuring tracing -----Original Message----- From: Glen Elrod <dr99645@yahoo.com> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net> Sent: Wed, 22 Apr 2009 2:26 pm Subject: Re: BPP 2 and reassuring tracing I had this exact scenario with a labor nurse pt not too long ago. Only points were for AFI. Sent to L&D and tracing was reactive on admission (hadn't been in the office). Pt had labor stimulated (didn't necessarily want pit so we used the breast pumps) and she managed to progress to 8cm before all hell broke loose on the strip and then at section Apgars were 8/9. Cord ph was 7.2. Go figure. Glen ********************************************* Hey Glen, three questions: -- 1) what category is "all hell broke loose" ? 2) What was the patient's objection to pitocin? and 3) how would you control hyperstimulation secondary to a breast pump? Robert Modugno MD MBA FACOG Sylva, NC Next message: Andrew Folley: "Re: BPP 2 and reassuring tracing" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: BPP 2 and reassuring tracing" In reply to: rmodugno@aol.com: "Re: BPP 2 and reassuring tracing" Next in thread: Andrew Folley: "Re: BPP 2 and reassuring tracing"

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