Re: Vaginal Delivery of twins

From: Paul Prior MD (pprior@earthlink.net)
Sun Jan 30 17:54:05 2000


On Sun, 30 Jan 2000 12:16:58 -0600, "K Dew" <kdew@bellsouth.net> wrote:

>Our hospital is trying to devise a protocol regarding vaginal delivery of
>twins. Assuming vertex/vertex, vertex/transverse, Ultrasound in room
>
>36 bed, level I, no 24 hour in house anesth or OR crew, two ORs only, no OR
>dedicated to L&D,
>
>possibilities
>
>1) labor and deliver in LDR, no anesth or OR crew present
>2) labor and deliver in LDR , anesth & OR in house and ready for c/s
>3) labor in LDR until ready to deliver, then transfer to OR (assuming one is
>available)
>4) any other suggestions?

I don't think delivering twins in an LDR is unreasonable. But laboring twins w/o anesthesia available is foolish, IMO.

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