Re: Interesting Case

From: JD Stewart,MD (jdstewartmfmob@hotmail.com)
Sun May 24 10:53:58 2009


At Sat, 23 May 2009, Charlie Chambers wrote:

>
>> Maybe this is the place for the breech induction protocol!
>
>Really? Was that necessary?
>

I apologize for the exclamation point, but there is a ring of truth, as there would be for an IUFD breech induction...in a VBAC or otherwise.

Aside from the monitoring aspect, the presence of another "Breech Induction" protocol at your hospital would come up as a local Standard of Care...and this baby wouldn't fit.

Awful/Simply Awful scenario- lost/damaged million dollar bill baby/missed ultrasound/ trouble in labor/ 4th degree/ hemorrhage/ hysterectomy/ blood transfusion/ hepatitis...DVT/stroke./ billion dollar career in a wheelchair...

and the patient recalls she wanted an amnio but was talked out of it, and begged you to do her C/S 2 days earlier...

Which brings us WAY around to the wisdom in the Breech Protocol staying forever in committee...

--
JD Stewart, MD
MFM up all night, every night
10 years later..




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