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Re: Undocumented uterine scarFrom: R. Daniel Braun (rBraun@IUNET.IUPUI.EDU)Fri Aug 30 06:51:57 1996
>>> <CheriCNM@aol.com> 08/29/96 04:04pm >>> How would you manage labor and delivery plans for the following patient? 36 year old G3P2 with 2 previous C/sections in Mexico in 1984 and 1986 for average sized babies. Patient does not remember why first section was performed, but reports it was done "in a hurry". Second section was a planned repeat. Surgical records from the sections are not available, but the skin incision is vertical. Would you offer this patient a trial of labor? YES There is a sutdy from USC-LAC evalating just this situation. If so, and PROM with light meconium at term was followed by widely spaced contractions and non-progressive labor after many hours, would you offer Pitocin augmentation? YES A contraindication to pitocin is a contraindication to labor. If meconium became thicker and/or variable decelerations ensued would you do an amnioinfusion? ABSOLUTELY
-- @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ R.Daniel Braun, MD FACOG "Money will buy you a fine dog, Clinical Professor but only love can make it wag its Department of OB/GYN tail" Indiana U. School of Medicine Richard "Kinky" Friedman OBGYN.net, International Representative, U.S. @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@
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