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Re: Vaginal Delivery of twinsFrom: John Robertson MD (john.robertson@obgyn.net)Mon Jan 31 09:02:49 2000
At Sun, 30 Jan 2000, K Dew 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? > >Kevin Dew MD, OB/GYN First of I would also deliver if first was breech - the second I don't care about position because you can't guarantee it after the first has delivered anyways. In our hospital we transfer down the hall to our OR on the maternity floor (where we do all our C/S) when the patient approaches fully dilated. We also call in the OR team at that point. John
-- J.G.M.Robertson MD, 109-9181 Main St. Chilliwack, B.C. V2P 4M9 (604) 793-9988 e-mail john.robertson@obgyn.net Who is wise and understanding among you? Let him show it by his good life, by deeds done in the humility that comes from wisdom. James 3 vs 13, NIV
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