Re: OB: OP versus OA

From: RModugno@aol.com
Fri Dec 29 21:00:02 2000


In a message dated 12/29/00 3:46:05 PM Eastern Standard Time, eramirez@icepr.com writes:

> 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.
>

So.....having said all that Ef, what do you do?

Robert Modugno MD MBA FACOG





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