Re: IUFD

From: art fougner, md (evsono@pipeline.com)
Tue Apr 25 07:28:37 2000


transverse lie + efw lbs = c-section.

Art

PS

the disturbing message of this case is the practice of midwifery outside the mainstream. pity that the usa is still unable to truly integrate midwifery and obstetrics as our colleagues in other countries. of course, that's just my opinion. i could be wrong.

At Tue, 25 Apr 2000, ainsron@msn.com wrote: >
>A patient presented today from out of the area at 42.5 weeks, G3, P1,
>initial prenatal care by a CNM, then seen during the last half of her
>pregnancy by a lay-midwife for a planned home delivery. C/O decreased
>fetal movement for 2-3 days, unable to get any of the MDs in her
>community to see her for a NST. Evaluation by real-time sono showed
>absent FHTs, transverse lie, EFW 10+, pelvis proven to 10#, Cervix is
>long, soft, closed with no presenting part in the pelvis. Normal
>coagulation parameters, BP ~160/100 range, therefore admitted and placed
>on MgSO4. Attempted version was unsuccessful. What would be your
>choice of delivery?
>1) Cytotec
>2) Pitocin
>3) Cervidil or prostaglandin
>4) C/S
>5) other
>
>--
>Ronald E. Ainsworth, MD
>

--
art fougner, md

A series of 1000 cases begins with but a single anecdote.





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