Re: Another Interesting VBAC/follow up

From: art fougner, md (evsono@pipeline.com)
Sun Jul 2 12:05:31 2000


Tonya

this case argues eloquently for the presence of an ultrasound machine on L&D.

art

At Sun, 2 Jul 2000, Tonya Von Brooks, CPM wrote: >
>Joe ,
>I spoke with this lady in my office after birth as a post partum . I do not
>have her records . We only spoke I did not examine her .The patients mother is
>a nurse and has attended numerous births with me . Exams were done in labor but
>I am not sure by whom . The patient reported that the monitor had to be placed
>high on her abdomen to hear and the nurses had difficulty getting a good efm
>strip .The younger daughter in this family has an undiagnosed "anemia" problem
>.She also told me her doctor told her prior to labor he didn't need a sono that
>he'd stake his reputation that the baby was vertex .It just may have been an
>unstable lie but the mom did not perceive gross fetal movement so it just may
>have been missed . This patient loves her doctor so I don't believe this will
>result in litigation but I don't know .
>Tonya
>
>DoctorJoe@aol.com wrote:
>
>> In a message dated 7/2/00 8:21:01 AM, gklein@icsi.net writes:
>>
>> >So what we are left with is a uterine rupture with a bad outcome.
>> >This could happen in a well managed case. So, where's the beef?
>>
>> I think most sentiment goes back to the 12 hour time frame. Whether she was
>> vertex or breech...
>>
>> Joe P.

--
art fougner, md

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





use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Mon Nov 2 04:44:54 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.