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Re: Cephalocentesis-question From: Steve & Eryl Raymond (eryl@intekom.co.za) Sun May 28 00:42:01 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Steve & Eryl Raymond: "Re: The case of the Red Pelvis." Previous message: Steven Crawford: "Re: routine intrapartum labs" In reply to: Marco A. Pelosi, III, MD, FACOG, FACS, FICS: "Re: Cephalocentesis-question" Next in thread: Dr.Mohamed Saeed: "Re: Cephalocentesis-question" Wait, wait, wait. "50%+ fetal mortality rate"??? This baby had no prognosis at all. In fact it is a wonder that it lasted 6 days. You are not advocating a C/S in such cases are you? A procedure with maternal mortality and morbidity proposed to deliver a live abnormal baby who is going to die anyway? I don't think there's a place for raising false hopes, that the baby has a chance, and I would certainly not want to do a C/S even if she didn't have mitral regurg. Dr. Saeed did the right thing. On 26 May 2000, at 17:11, Marco A. Pelosi, III, MD, FAC wrote: > At Mon, 22 May 2000, Dr.Mohamed Saeed wrote: > > > >A 36 yrs. Old lady coming to the casuality with the following > >diagnosis: P5+1, 38 weeks-gestation, cephalic, in labour, rheumatic > >heart disease (mitral valve regurge with prolapse), fetus was > >hydrocephalic (cortical thickness=7mm), with open spina bifida(shown > >by real time ultrasound and confirmed post-natally with skin, bony, > >and dural loss in a dorsal segment about 4 cm ). > > > >An informed consent was taken from the mother (husband was absent) to > >perform cephalocentesis to avoid unnecessary cesarean > >section................................... > > >The baby died 6 days after birth. > > > The answer is obvious. A procedure with a 50%+ fetal mortality rate > was performed to avoid a cesarean section - a procedure with a lower > fetal mortality rate. The person who decided this course of action > carries the responsibilty of its consequences. > > The question you will be asked: > > Was the mother informed of the fetal mortality risk associated with > cephalocentesis when she gave consent? > > M.A. Pelosi,III, MD > Dr. Steve Raymond Head of Department of O & G Empangeni Hospital Empangeni SOUTH AFRICA 3880 Ph:(+27)(035)77721111 Next message: Steve & Eryl Raymond: "Re: The case of the Red Pelvis." Previous message: Steven Crawford: "Re: routine intrapartum labs" In reply to: Marco A. Pelosi, III, MD, FACOG, FACS, FICS: "Re: Cephalocentesis-question" Next in thread: Dr.Mohamed Saeed: "Re: Cephalocentesis-question"

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