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Re: Macrosomia 'management' From: Braun, R. Daniel (rbraun@iupui.edu) Thu Feb 10 14:45:53 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Braun, R. Daniel: "Re: Efrain's question" Previous message: Barbara Nesbitt, Editor OBGYN.net: "OBGYN.net server will be unavailable from 2-6am CST Saturday" Maybe in reply to: Deborah Wage, FNP,CNM: "Macrosomia 'management'" Next in thread: Robert J. Woolley: "Re: Macrosomia 'management'" Half of all shoulder dystocias occur in infants weighing less than 4000 grams. 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: Dr. Myer Bornstein [mailto:mbornstein@mortonhospital.org] Sent: Thursday, February 10, 2000 11:08 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Macrosomia 'management' I don't routinely section patients for macrosomia because of U/S except in a known diabetic. Our department has done C/Section for macrosomia from U/S reading and have gotten &#+ babies. A recent case of severe shoulder dystocia was in a normal sized infant of 7# 10 oz -- Myer S. Bornstein, MD, CPE, FACOG >----- Original Message ----- From: "Luis Sanchez-Ramos" <luis.sanchez@jax.ufl.edu> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@forum.obgyn.net> Sent: Thursday, February 10, 2000 10:55 AM Subject: Re: Macrosomia 'management' > I understand how you feel, however, you cannot recommend elective > cesarean based on anecdotal or personal experiences. Someone else may > report his or her experience with a maternal death from an elective > cesarean for macrosomia. > > Luis Sanchez-Ramos, MD > > At Thu, 10 Feb 2000, ENDODOK@aol.com wrote: > > > >You rarely get sued for the section you did, but often for the section you > >did not do!I > >I really agree with Joe re: reviewing thoroughly latest "stuff" on Shoulder > >dystocia. This case was a 4 hour labor, 9-push second stage (G2 P1) with EFS > >of 9-91/2 pounds.SEVERE shoulder, all manouvers failed. Emergency > >symphysiotomy saved the baby (10-13) but infant has an Erbs. > > > >JGB > Next message: Braun, R. Daniel: "Re: Efrain's question" Previous message: Barbara Nesbitt, Editor OBGYN.net: "OBGYN.net server will be unavailable from 2-6am CST Saturday" Maybe in reply to: Deborah Wage, FNP,CNM: "Macrosomia 'management'" Next in thread: Robert J. Woolley: "Re: Macrosomia 'management'"

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