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Re: vacuum refusalFrom: theseas@birdmail.comThu Oct 26 21:19:51 2000
At Fri, 13 Oct 2000, Eberhard W Lisse wrote: > >In message <200010131519.KAA01459@mail.medispecialty.com>, chris stanley writes >: >> was called to a delivery by our midwife. patient pushing, +2, est wt >> less than 7lbs, adequate pelvis, and fetal bradycardia 80-90's for 7 >> minutes. should have been an easy pull with vacuum. try to explain the >> basics of the situation and explain that we should help the delivery >> move along. she hears the word "vacuum" and recites some horror story >> she saw on Dateline or 20/20. >> >> now fetal heart is down 12 minutes and we have gained no station with 3 >> contractions, and i decide to section her. 6lb 9 oz with 8/9 apgars and >> nuchal cord. not the kind of case one feels great about. media >> hysteria cost this young woman a needless section im afraid. any >> suggestions on how to handle the situation? thanks. > >Cut her and go home. It ain't worth a minute of lost sleep. >
I take it you've had some malpractice thrown your way by ways of your
poor advice. May I remind anyone of FDA May 1998?? Hello! The patient
has the right to refuse vacuum extraction..it is more dangerous,and
complicated than forceps or c section. You should have performed the
section right away with bradycardia...cant blame the patient
truthfully....
>el
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