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Re: Management of Previous unknown Cesarean scar From: CheriCNM@aol.com Wed Sep 18 14:00:21 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: LAW_MAC@centum.utulsa.edu: "Denial of Medicaid Reimbursement for MSAFP Tests" Previous message: acf: "estratest" In a message dated 96-09-17 20:10:41 EDT, TDG@aol.com writes: << Regualr old Ob/G here, too. Amnioinfusion? How many times have you done this, really? >> We do amnioinfusion quite frequently in my setting. We use it for repetitive moderate to severe variable decelerations and for moderate to thick meconium. At our hospital any situation where amnioinfusion is indicated requires consultation with the physician before the CNM institutes the procedure. I have noticed a couple of incidents recently where a fetal bradycardia developed soon after the placement of the IUPC for amnioinfusion. I'm wondering if others have observed this following IUPC insertion. I presume that the cause could be cord spasm due to placement of the IUPC near a vulnerable cord. These bradys have always resolved with the usual measures, but they are nerve-wracking at the time. Have any of you tried removing the IUPC and reinserting it in these cases? Or is it best to just use all the usual measures and see if it resolves on its own? Cheri Van Hoover, CNM Kaiser Hospital Redwood City, CA Next message: LAW_MAC@centum.utulsa.edu: "Denial of Medicaid Reimbursement for MSAFP Tests" Previous message: acf: "estratest"

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