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Re: OB: OP versus OA From: Efrain Ramirez (eramirez@icepr.com) Fri Dec 29 13:42:57 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: Shoulder dystocia case" Previous message: K Dew: "Re: "multiracial baby" was family in LDR" In reply to: Garry Siegel: "OB: OP versus OA" Next in thread: Joe Cutchin: "Re: OB: OP versus OA" About a 1/5 of all deliveries the fetus will first descend into the pelvis in an OP position -- the vast mayority (95% ?) will have spontaneous OA rotations - (less if using epidurals) -- having said that -- to do rotations or not -- I believe it depends on the experience and the skill of the obstetrician - I did quiet a few in my residency years (my mentor particulary liked the Scanzoni maneuver) - I don't do them anymore and in my hands ain't worth it - I don't think it will significantly increase my C/S rate by not doing rotations - most probably I would spend much more time in LDR - and be more patient. The risks - in my hands - will far outhweigh the risks of a C/S. At Thu, 28 Dec 2000, Garry Siegel wrote: > >My recent case brings up a question--when a baby is OP, or LOP, +2, and >needs delivery, I have always felt that an attempted rotation with >Kielland forceps is best, as babies "fit" better OA. I am aware that >delivering OP is acceptable, too, and that the decision as to which >probably depends on the skill/experience/lack of common sense (LOL) of >the operator. > >That said, what do others think in regard to how babies best fit--OP or >OA? > >What do others do when faced with this? > >Garry > >-- >Garry E. Siegel, M.D., F.A.C.O.G. >Roswell, GA >Private Practice > -- "Do not take life too seriously. You will never get out of it alive." Marianne Williamson Next message: Efrain Ramirez: "Re: Shoulder dystocia case" Previous message: K Dew: "Re: "multiracial baby" was family in LDR" In reply to: Garry Siegel: "OB: OP versus OA" Next in thread: Joe Cutchin: "Re: OB: OP versus OA"

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