-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: Classical C/S - Dr Siegel From: Efrain Ramirez (eramirez@icepr.com) Sat Apr 8 21:08:52 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: Classical C/S - Dr Siegel" Previous message: mark decker: "Re: Cytotec, cervical ripening" In reply to: Garry Siegel: "Re: Classical C/S - Dr Siegel" Next in thread: Anna Meenan, MD: "Re: For those of you who cover family docs doing ob..." Well-- it has been my experience that in the really obese patient a transverse incision works very well -- less adipose tissue, etc-- On the Cytotec issue -- as Master Splinter would say--that's ok -... At Sat, 8 Apr 2000, Garry Siegel wrote: > >Because it was rather deep in there, and it would have been extremely >difficult for two Obstetricians to pull up the uterus enough to expose >the lower uterine segment and make a bladder flap incision, open the >uterus transversely, and reach it to close it. I suspect that the >vertex would have been even further south. > >We opened the uterus literally right below the incision, where the >fundus and top were just sitting there, delivered the baby feet first, >and then closed it. Tubes were tied, as requested, but I would have >done the same thing even without a tubal ligation. > >It was easy; why struggle if it is not necessary? > >Efrain: With respect to cytotec in this patient, that was our initial >thinking, but the L and D nurses either couldn't or wouldn't monitor her >well. In several trips in for stuff during the pregnancy, they would >complain about how she couldn't be monitored continously. Also, her >cervix was closed--neither the MFM, or my partner or I would get a >finger in. > >Garry >> >> >>I agree! Dr Siegel why did you do a classical C/S on your obese lady? >> >>Robert Modugno MD MBA FACOG >>Marietta, GA > >-- >Garry E. Siegel, M.D., F.A.C.O.G. >Roswell, GA >Private Practice > -- "The things you learn after you know everything are the important ones" Next message: Efrain Ramirez: "Re: Classical C/S - Dr Siegel" Previous message: mark decker: "Re: Cytotec, cervical ripening" In reply to: Garry Siegel: "Re: Classical C/S - Dr Siegel" Next in thread: Anna Meenan, MD: "Re: For those of you who cover family docs doing ob..."

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 04:44:07 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.