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Re: Vaginal Delivery of twins From: J. Hellriegel (jhellrie@pce.net) Mon Jan 31 10:00:02 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Lynn Montgomery: "Too good to wait for Friday" Previous message: John Robertson MD: "Re: Vaginal Delivery of twins" In reply to: John Robertson MD: "Re: Vaginal Delivery of twins" At Mon, 31 Jan 2000, John Robertson MD wrote: > >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 -- We follow the same plan as outlined by John (above). Also monitor the second twin with US while waiting for vaginal delivery. John H. > >-- >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 > -- John Hellriegel, MD, PhD Next message: Lynn Montgomery: "Too good to wait for Friday" Previous message: John Robertson MD: "Re: Vaginal Delivery of twins" In reply to: John Robertson MD: "Re: Vaginal Delivery of twins"

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