Re: OB: Multifetal nomenclature
From: art fougner, md (evsono@pipeline.com)
Thu May 18 14:56:35 2000
not if peds knows to evaluate both. but what the hey - just my opinion.
when you get to higher order multiples it's confusing enuff as it is
without adding to the confusion. i say let's hvae Ashley adopt this
system and let us know how all works out. it could work.
again - just my opinion and i could easily be wrong.
Art
At Thu, 18 May 2000, Braun, R. Daniel wrote:
>
>It matters if the one called twin A for the whole pregnancy has a problem
>and twin B doesn't. Then when you deliver them Twin B does and Twin A
>doesn't. Now that violates the KISS principle.
>
>Dan
>
>R. Daniel Braun, MD FACOG
>Clinical Professor
>Department of Obstetrics and Gynecology
>Indiana U. School of Medicine
>Indianapolis, IN 46202
>
>OBGYN.net
>International Representative for United States
>
>Certified AllExperts Expert
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>
>-----Original Message-----
>From: evsono@pipeline.com [mailto:evsono@pipeline.com]
>Sent: Thursday, May 18, 2000 9:03 AM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: OB: Multifetal nomenclature
>
>Ashley -
>
>i have to say i agree with Steve here - this seems to violate the
>K.I.S.S. principle.
>
>art
>
>At Thu, 18 May 2000, Steve & Eryl Raymond wrote:
>>
>>My first reaction was ( and still is) "why does it matter"? Surely
>>the delivery order takes precedence after delivery?
>>Steve
>>
>>On 17 May 2000, at 21:12, J. Hellriegel wrote:
>>
>>> Seems OK.
>>>
>>> Note: Even for a vaginal delivery the order could become;
>>> A1, B3 and C2.
>>>
>>> J. Hellriegel
>>>
>>> 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
>>> >
>>>
>>> --
>>> John Hellriegel, MD, PhD
>>>
>--
>art fougner, md
>
>A series of 1000 cases begins with but a single anecdote.
>
--
art fougner, md
A series of 1000 cases begins with but a single anecdote.
