Re: IUFD

From: art fougner, md (evsono@pipeline.com)
Wed Apr 26 12:30:38 2000


rather difficult to understand how an inadequate placenta is associated with an 11 lb baby. i truly feel that our knowledge of the pathophysiology of fetal demise in these cases is woefully inadequate. perhaps if we knew what to look for, we'd have better suveillance tachniques.

Art

At Tue, 25 Apr 2000, ainsron@msn.com wrote: >
>Finally needed to section her. Prolapsed left arm and shoulder into the
>vagina. Baby was 11# 3oz! No obvious cause of demise, but most likely
>utero-placental insufficiency. She also started bleeding just before we
>went to the OR, found an meconium stained endometrium, blood in the
>uterus with a partial abruption and Couvelaire uterus. due to cytotec?
>I know the abruption wasn't the cause of the fetal demise.
>
>>I once had in my residency an IUFD --breech vaginally - my second year
>>resident delivered the body without the head - he almost fainted- I was
>>by his side --I don't know up to this day how I grasped the decapitaded
>>head and delivered it --scarry!!!!
>>
>>Good luck Ron.
>>
>>--
>>"The things you learn after you know everything are the important ones"
>>
>--
>Ronald E. Ainsworth, MD
>

--
art fougner, md

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





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