Re: Breech presentation at 24 weeks

From: art fougner, md (evsono@pipeline.com)
Sat Sep 23 08:18:37 2000


suggest you present that scenario to patient as well - involve patient in this decision. if you do go for vaginal - try to deliver "en caul."

good luck.

art

At Sat, 23 Sep 2000, Edgardo Rivera wrote: >
>At Fri, 22 Sep 2000, DoctorJoe@aol.com wrote:
>>
>>In a message dated 9/22/00 10:28:39 PM, rive161@attglobal.net writes:
>>
>><< Pelvic exam membranes bulging, 4cm. dil. baby footling, with feet
>>below level of the cervix by sonographic evaluation efw 650 grms.
>>Hospital nicu states that they start doing all
>>medical treatment at 24 weeks.
>>Coments please ..... do you c/s, allow vaginal delivery..., monitor of
>>the baby >>
>>
>>What about standing her on her head, tocolysis, and steroids?
>>
>>Joe P.
>Mgso4 given 6grm/hr, steroids given, know she is 6cm.
>Parents prefered not to c/s, after fully orientation of baby outcome in
>terms of the extreme prematurity, and in the terms of the mode of
>delivery, and future pregnancy outcome, if I do a C/S. But it is still
>in the back of my head, What about if when this baby born lives and at
>age 10 he have cerebral palsy and the parents sue me because I didn't do
>a C/S or that the baby's head get trapted in the cervix, bay dies durind
>the delivery and the parents sue because I didn't do a C/S.

--
art fougner, md

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





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