Re: My most stressful case this week! (obs)

From: Bernard Cristalli (bcrist@club-internet.fr)
Thu Jul 20 11:53:06 2000


I don't know any OB in France with same CS rates than in the US either. :-) When I say a 90% VD rate it's a rate per attempt. I do a predelivery selection in which 20% of the cases deserve an elective CS. This selection is made with the last US scan (3 scheduled scans here) and the radioplevimetry. The delivery has to be rapid (1st stage) and active for the second stage to avoid hypoxy.

--
Bernard Cristalli MD AMACOG
AIHP - ACCA
Paris France
Bernard.Cristalli@CliniquedelEssonne.fr
http://www.CliniquedelEssonne.fr
http://www.obgyn.net/corresp/cristalli.htm
http://www.gyneweb.fr
'64 Mk2 3.8

> De : "Tonya Von Brooks, CPM" <nbwc@ix.netcom.com> > Répondre à : ob-gyn-l@obgyn.net > Date : Thu, 20 Jul 2000 10:49:20 -0500 > À : Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net> > Objet : Re: My most stressful case this week! (obs) > > Bernard , > With your experience and philosophy do you occasionally see less optimum long > term outcomes in breechVDs as Hannah describes ? I don't know of any OB in > the > U.S with a sucess rate like yours . > Tonya Brooks > > Bernard Cristalli wrote: > >> I do a traction on every breech (90% VDs) and the arms don't raise more than >> that. >> >> -- >> Bernard Cristalli MD AMACOG >> AIHP - ACCA >> Paris France >> Bernard.Cristalli@CliniquedelEssonne.fr >> http://www.CliniquedelEssonne.fr >> http://www.obgyn.net/corresp/cristalli.htm >> http://www.gyneweb.fr >> '64 Mk2 3.8 >> >>> De : Paul Prior MD <pprior@earthlink.net> >>> Répondre à : ob-gyn-l@obgyn.net >>> Date : Wed, 19 Jul 2000 20:55:15 -0500 >>> À : Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net> >>> Objet : Re: My most stressful case this week! (obs) >>> >>> On Wed, 19 Jul 2000 17:27:16 -0500, Griffiths Malcolm >>> <Malcolm.Griffiths@ldh-tr.anglox.nhs.uk> wrote: >>> >> >>> >>>> My understanding has really been that nuccal arms arise as a result of >>>> traction and stimulation of the baby and don't occur if management is hands >>>> off - I may be wrong! >>> >>> I don't think so, not in my case at least. >>> >





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