Re: eye hemorragy was to push or not to push. That is the question.
From: Bernard Cristalli (bcrist@club-internet.fr)
Tue Jun 30 16:45:25 2009
We had to deal with that a certain number of times when I was in a U
Hospital in Paris. Lots of OPH and neurosurgery patients who were not
allowed to push.
The patient must not push, but if you have a deep epidural, there is no
pushing reflex and, provided the labour and FHR are normal, you can wait
till the baby is low enough to perform a low forceps.
Even an elective C/S remains 3 to 5 times more dangerous than a VD.
But, this is another mutual decision once the information has been done.
Beranrd
Henry Gregor a écrit :
> Robert, I agree with Emilio...my two cents, but I and many others I'm
> sure, have seen numerous ocular petecchiae....not worth the issue of
> remotely having to deal with a deposition for one of the members of
> the plaintiff's bar, should something go wrong...and as with that
> procedure whose name must not be mentioned...you know, the one
> involving vaginal delivery in lieu of planned operative, no matter now
> comprehensive the informed consent is beforehand, after the fact of an
> adverse outcome its not likely worth the paper it's printed on.
>
> Hank
>
> --- On *Tue, 6/30/09, emilio porro /<sanbonav@hotmail.com>/* wrote:
>
> From: emilio porro <sanbonav@hotmail.com>
> Subject: eye hemorragy was to push or not to push. That is the
> question.
> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@mail.obgyn.net>
> Date: Tuesday, June 30, 2009, 8:18 AM
>
> I agree.I think is common clinical experience to see some women
> after pushing for birth with eye anterior hemorragy
> or hemorragic eye's petecchias.
> Emilio Porro M.D
>
> > Date: Mon, 29 Jun 2009 19:21:17 -0500
> > From: eramirezt@coqui.net
> > To: ob-gyn-l@mail.obgyn.net
> > 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.
> > >
> > >Â
> > >
> > >She wants to know whether she should have an elective cesarean
> section.
> > >What would YOU cyberobs do?
> > >
> > >Â
> > >
> > >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
>
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