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Re: Vaginal Delivery of twinsFrom: Braun, R. Daniel (rbraun@iupui.edu)Sun Jan 30 20:55:26 2000
You will frequntly 10-20% need anesthesia for vaginal delivery in twins( as in crash induction (Maybe only 5%) so you will want to do no twins in a room that has no anesthesia machine. You should also probably have 2 OB's for a twin delivery. The most experienced one manipulating the ultrasound and 2nd baby while the other is delivering first baby. Dan R. Daniel Braun, MD FACOG Clinical Professor Department of Obstetrics and Gynecology Indiana U. School of Medicine Indianapolis, IN 46202 OBGYN.net International Representative for United States Certified AllExperts Expert Check out my bio/ratings page! http://www.allexperts.com/displayExpert.asp?Expert=1236 -----Original Message----- From: K Dew [mailto:kdew@bellsouth.net] Sent: Sunday, January 30, 2000 1:17 PM To: Multiple recipients of list OB-GYN-L Subject: Vaginal Delivery of twins 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? Kevin Dew MD, OB/GYN
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