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Re: To push or not to push. That is the question. From: Raymond, Steve (Stephen.Raymond@dhhs.tas.gov.au) Mon Jun 29 21:30:35 2009 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: Was Incompetent os - tocolytics" Previous message: Raymond, Steve: "Re: Was Incompetent os - tocolytics" I had a pregnant patient recently who was told by an ophthalmologist after her retinal detachment surgery in China that she should not deliver vaginally, if she got pregnant. When I asked our ophthalmologists what would be the reason for this, they all said there is none, as Valsalva has not been shown to increase the risk of retinal detachment. They said she would be fine to push. We never got the chance to find out as the patient decided to have a Caesar! Steve ________________________________ From: ob-gyn-l@obgyn.net on behalf of Efrain Ramirez -- ________________________________ Sent: Tue 30/06/2009 10:21 AM To: Multiple recipients of list OB-GYN-L Subject: Re: To push or not to push. That is the question. Elective C/S Ef At Mon, 29 Jun 2009, rmodugno@aol.com wrote: > >-----Original Message----- >From: rmodugno@aol.com >To: ob-gyn-l@ob-gyn.net >Sent: Mon, Jun 29, 2009 3:44 pm >Subject: To push or not to push. That is the question. > >24 year old P0G1 - 21 weeks.Gives history of eye surgery in Ukaraine at >age 14 Details are not available.Was told at the time not to be >involved in anything that might involve jumping, horse back riding or >"giving birth naturally", presumably due to stresses/strain within the >eye due to her high myopia- this info from her local opthalmologist. At >present retinal exam is normal.He advised: that "normal' physical >activity should not cause any particular risk other than the fact of >her high myopia and increased risk of retinal detachment. Ofcourse he >does not give any recommendations regarding delivery. > > > >She wants to know whether she should have an elective cesarean section. >What would YOU cyberobs do? > > > >Robert Modugno MD MBA FACOG > >Sylva, NC > > Save energy, paper and money -- get the Green Toolbar. -- "Life is what happens to you while you're busy making other plans."- John Lennon CONFIDENTIALITY NOTICE AND DISCLAIMER The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission. If the transmission contains advice, the advice is based on instructions in relation to, and is provided to the addressee in connection with, the matter mentioned above. Responsibility is not accepted for reliance upon it by any other person or for any other purpose. Next message: DoctorJoe@aol.com: "Re: Was Incompetent os - tocolytics" Previous message: Raymond, Steve: "Re: Was Incompetent os - tocolytics"

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