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Amish PTD/Classical IncisionFrom: Deborah Wage, FNP,CNM (wagedj@bellsouth.net)Sat Sep 23 13:17:08 2000
Opinions/comments: G5 P4004 Amish woman, living in typical Amish fashion (no phone, electricity etc). PROM for maybe 2 weeks but thinks it is incontinence. Begins to feel feverish and starts contracting as well. Husband goes to phone shed, calls doctor. Pt taken to tertiary center. Tocolytics subdue labor somewhat but due to her assumed infected status and breech position of the baby a non-emergent section is planned. No epidural placed yet. Fetal status has been reassuring. Shortly thereafter she feels the baby move down and urge to push. No one was in the room and the father called to the nurse's station to report that "the baby was coming". A stat section was done under general.......classical incision.
-- Deborah Wage MSN, FNP,CNM
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