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Re: Classical C/S--new info From: Joanne Bulley, MD (jbulley@cheshire.net) Thu Apr 6 17:43:33 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Paul Prior MD: "Re: For those of you who cover family docs doing ob..." Previous message: Efrain Ramirez: "Re: Cytotec, cervical ripening" In reply to: Garry Siegel: "Re: Classical C/S--new info" Next in thread: J. Hellriegel: "Re: Evista and C-reactive protein levels ..." Reply: J. Hellriegel: "Re: Evista and C-reactive protein levels ..." Reply: guy: "Re: For those of you who cover family docs doing ob..." Reply: Anna Meenan, MD: "Re: For those of you who cover family docs doing ob..." Reply: John Robertson MD: "Re: For those of you who cover family docs doing ob..." Reply: Anna Meenan, MD: "Re: For those of you who cover family docs doing ob..." I have had one patient who was 350# plus, GDM one Vag Deliv, one C/S (as I recall it was either for footling breec or HSV - it was long ago) then with the GDM poorly controlled despite our input... We opted for repeat C/S in the main OR for both anesthesia reasons and surgical - more access to additional instruments, etc. The idea of a C/S without labor and at a planned time with appropriate extra warm bodies to help far outweighed any thoughts of VBAC and urgent C/S for ANY reason. This was long before the new VBAC requirements. I would much rather do this with the vertical incision you described than a pfannenstiel under the pannus where it stays moist, dark & unoxygenated! -- Joanne Bulley At Wed, 5 Apr 2000, Garry Siegel wrote: > >30 YO P1001 at 40w0d, morbidly obese (350#, 5 feet 5 inches) who is s/p >tracheostomy for sleep apnea, has asthma. > >Well, last week, at 39+, the BPP showed decreased movement initally, and >her cervix has closed/high. Repeat scan was cool, and she was >technically a challege to monitor--like it really couldn't be done. > >What would you do? If you choose to deliver, how? If you induce, and you >can't monitor externally, can't AROM, what do you do? Ripen? Section? If >so, how? > >Garry > -- Joanne Bulley, MD Keene, NH, USA Next message: Paul Prior MD: "Re: For those of you who cover family docs doing ob..." Previous message: Efrain Ramirez: "Re: Cytotec, cervical ripening" In reply to: Garry Siegel: "Re: Classical C/S--new info" Next in thread: J. Hellriegel: "Re: Evista and C-reactive protein levels ..." Reply: J. Hellriegel: "Re: Evista and C-reactive protein levels ..." Reply: guy: "Re: For those of you who cover family docs doing ob..." Reply: Anna Meenan, MD: "Re: For those of you who cover family docs doing ob..." Reply: John Robertson MD: "Re: For those of you who cover family docs doing ob..." Reply: Anna Meenan, MD: "Re: For those of you who cover family docs doing ob..."

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