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Re: Interesting VBACFrom: Garry E. Siegel (garrys@mindspring.ocm)Fri Jun 30 21:27:52 2000
At Fri, 30 Jun 2000, Geffrey Klein, MD wrote: > >Any comments? > >G3P2 at 41-42 weeks presented in labor. Pt has prior hx of LUTCS and >VBAC. Pt pushes for five hours without delivery. At cesarean >catastrophic uterine rupture noted. Baby 12 pounds 2 ounces and >stillborn. Mom recovering without physical sequelae. > As one of my mentors at the University of Alabama said (thanks to EE Partridge): If it don't look right, it ain't right. The more I practice, the more profound that simple statement is. A couple of weeks ago, when whining on the list, I mentioned a failed home birth who couldn't push out an 11 pound, 10 ounce baby over 4 hours. She delivered at the hospital after pushing with help and an episiotomy. On arrival, it didn't look right, either. My point is that things that are outside of our normal boxes, that don't make horse sense, or that rub us the wrong way probably represent problems. Sometimes we lose sight of the forrest because of the trees. Garry
-- Garry E. Siegel, M.D., F.A.C.O.G. Private Practice Roswell, GA
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