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Re: C/S for this breech? From: John G. M. Robertson MD (jgmr@unixg.ubc.ca) Mon Oct 23 18:43:07 1995 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Robbrenner@aol.com: "tocolytics" Previous message: David Nagey: "Re: abdominal pregancy and a myomatous uterus" Maybe in reply to: Dr Eberhard W Lisse: "C/S for this breech?" Next in thread: Dr Eberhard W Lisse: "Re: C/S for this breech?" >Hi, > >I saw a G2P1 34 weeks to dates, fundal height and Ultrasound last Thursday. What was the ratio of the head circumference to the abdomimal circumference? Was it frank, complete or footling, was the head extended or flexed? Was there cord below the presenting part? These things would influence my management significantly >I had >discharged her on Monday after two days worth of Nifidepine and Betamethasone >for premature contractions which responded very well. > >On examination: single breech, 4-5 cm dilated, membranes intact. Regular >contractions >of 3 in 10 minutes for 30 seconds. > >Given that I am the resident Medical Officer of a small district hospital >300 miles >away from the referral hospital I did a C/S. 2100g male (Apgars 9/10 10/10 >10/10). > >What mode of delivery would others have chosen? I might have done a vaginal delivery if the HC/AC ratio was appropriate, and the presentation was frank or complete with no cord and a flexed head. However what you should do depends on your previous experience and what you are comfortable doing. I would never suggest to someone without some previous experience delivering breeches that they should have delivered this one vaginally. John G. M. Robertson MD, CCFP, FRCS(C) 109 - 9181 Main street, Chilliwack B.C. Canada 1(604)793-9988 e-mail jgmr @ Unixg.ubc.ca Next message: Robbrenner@aol.com: "tocolytics" Previous message: David Nagey: "Re: abdominal pregancy and a myomatous uterus" Maybe in reply to: Dr Eberhard W Lisse: "C/S for this breech?" Next in thread: Dr Eberhard W Lisse: "Re: C/S for this breech?"

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