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Re: Shoulder dystocia/legal impact From: art fougner, md (evsono@pipeline.com) Sun Aug 13 13:05:05 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: Shoulder dystocia/legal impact" Previous message: Betsy Hyde: "Re: Shoulder dystocia/legal impact" In reply to: Betsy Hyde: "Shoulder dystocia/legal impact" Next in thread: Betsy Hyde: "Re: Shoulder dystocia/legal impact" involve your back-up physicians ( if you've not already.) offer elective section as an option. consult with your risk management professional for further insight. i've a question tho - could this overly aggessive behavior have been picked up on your radar screens earlier? art At Sat, 12 Aug 2000, Betsy Hyde wrote: > >re the recent thread re legal impact on VBACs.... > >here's a question for the group: > >G3P2 non gestational diabetic all three pregnancies >first birth was NSVD w/o comp, fetal weight approx 9 lbs > >second birth was NSVD, long labor, shoulder dystocia, fetal weight 11-3. No >permanent sequelae to the neonate. > >Now wants to know what to do. EFW at approx 32 weeks (for other reasons, >elevated MSAFP) was >75%ile. > >Is a paralegal. "I do medical malpractice for shoulder dystocia and I know >all the literature." I briefly attempted to discuss that most SD was >unanticipated, and that recent evidence suggested that some brachial plexus >injuries were unrelated to difficult births. > >"I don't believe this. You can say what you want, but I don't agree." > >How would you manage the remainder of this woman's pregnancy and birth? > >-- >Betsy Hyde CNM >Branford, CT > -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: art fougner, md: "Re: Shoulder dystocia/legal impact" Previous message: Betsy Hyde: "Re: Shoulder dystocia/legal impact" In reply to: Betsy Hyde: "Shoulder dystocia/legal impact" Next in thread: Betsy Hyde: "Re: Shoulder dystocia/legal impact"

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