Re: OB: Multifetal nomenclature

From: art fougner, md (evsono@pipeline.com)
Wed May 17 13:07:39 2000


Ashley -

now was Jacob baby A or baby B?

art

At Wed, 17 May 2000, D. Ashley Hill, MD wrote: >
>We are thinking of devising a nomenclature system for delivery of
>multifetal pregnancies at our institution. Let's say the patient has
>triplets, with A presenting first, then B and C. At c/section, baby C
>(for example) may actually be delivered first, because his feet popped
>out of the incision first. Baby A might even be delivered last.
>
>Some of the Peds folks want to call the firstborn A regardless of it's
>antepartum position. (In the example above baby C would now be called A
>by the neonatology team). I am concerned that "renaming" the babies is
>confusing. Perhaps the perinatologist was following "C" for a cardiac
>defect. Now everyone is calling that one A because she was born first.
>How about leaving the original, antepartum letter intact, but adding a
>number to designate birth order? Using the above delivery, the
>nomenclature would read C1, B2, A3. Any thoughts? Thanks,
>
>Ashley
>
>--
>David Ashley Hill, MD
>Associate Director
>Department of Obstetrics and Gynecology
>Florida Hospital Family Practice Residency
>http://home.mpinet.net/dahmd
>

--
art fougner, md

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





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