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Re: Another Interesting VBAC From: Geffrey Klein, MD (gklein@icsi.net) Sat Jul 8 08:53:44 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: james connerth: "Re: Another Interesting VBAC" Previous message: Tonya Von Brooks, CPM: "Re: Another Interesting VBAC" In reply to: Tonya Von Brooks, CPM: "Re: Another Interesting VBAC" Next in thread: art fougner, md: "Re: Another Interesting VBAC" Reply: art fougner, md: "Re: Another Interesting VBAC" Reply: Efrain Ramirez: "Re: Another Interesting VBAC" At 1:31 AM -0500 on 7/8/00, Tonya Von Brooks, CPM wrote: >Geff , >I was able to obtain a little more data on the vbac case I posted .Here it is >although far from complete Three weeks before labor the baby was >dx'd as breech >. The physician decline a request for a version on a scarred uterus . agree that it is reasonable not to do ECV with prior CS. > No further >Uss done . Physician felt baby vtx . Pt . told him she did not feel baby move >and kicking was in the same places. . sloppy. I suspect this means that the cervix was not even dilated enough to feel the presenting part. >Induced labor at 40 weeks and 4 days .- Started cervidil am - day one . Induction of prior cs with cervidil in direct violation of package insert. >( I don't know why they didn't use an internal monitor - this Pt. might have >refused it .) HR baselines were between 125 and 115 . Pt reported very painful >uc's although monitor did not show strong uc's . 8 pm one dose Stadol . 9 pm >physician came in and started iv pit . Pt given 2 or 3 more doses of Stadol >between 9 pm and 3 am . Given epidural anesthesia around 3 am . Fell >asleep for >one hour woke up to enormous pain around pubic bone . Pt was catheterized and >checked by nurse who " couldn't find the cervix " . No fetal heart >tones. C/S at >around 4:25am. Baby was breech . Feet delivered first . I do not >know any other >details of position . Pt was given 2 units of blood ,baby to nicu >and expired a >few days later . I don't know what to make of this case .I think we >have to vbac >those candidates who do not require much intervention yet it's a choice I want >women to have . still not enough data.. cervical exam, progress, and tracing the most important details here... -- _______________________ Geffrey H. Klein, MD _______________________ geffrey.klein@obgyn.net 200 Medical Center Blvd Suite 103 Webster, TX 77598 (281) 332 6723 http://www.geffreyklein.com Next message: james connerth: "Re: Another Interesting VBAC" Previous message: Tonya Von Brooks, CPM: "Re: Another Interesting VBAC" In reply to: Tonya Von Brooks, CPM: "Re: Another Interesting VBAC" Next in thread: art fougner, md: "Re: Another Interesting VBAC" Reply: art fougner, md: "Re: Another Interesting VBAC" Reply: Efrain Ramirez: "Re: Another Interesting VBAC"

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