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Re: OB: OP versus OA From: Steve & Eryl Raymond (eryl@intekom.co.za) Sat Dec 30 14:45:07 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Steve & Eryl Raymond: "Re: Preterm "Macrosomia"" Previous message: Steve & Eryl Raymond: "Multiracial babies - was: poop hits the fan" Maybe in reply to: Garry Siegel: "OB: OP versus OA" Next in thread: DoctorJoe@aol.com: "Re: OB: OP versus OA" Perhaps because I was taught the use of Kiellands very well early in my career I always use these forceps whether I am rotating or not. If the position is OP then I will always attempt a rotation as the damage to the vagina delivering OP rather than OA can always be expected to be greater - bigger diameter is presenting. However if the head is well down and the baby not big (i.e less than 3000gm) there is not much to be gained by rotating and I don't mind delivering OP. These ones however will often deliver spontaneously so the question of whether or not to rotate doesn't arise. Steve 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 -- Dr. S.H. Raymond Department of Obstetrics & Gynaecology Empangeni Hospital Private Bag X20005 Empangeni South Africa 3880 Ph. (+27) (035) 7721111 Fax (+27) (035) 7922596 Next message: Steve & Eryl Raymond: "Re: Preterm "Macrosomia"" Previous message: Steve & Eryl Raymond: "Multiracial babies - was: poop hits the fan" Maybe in reply to: Garry Siegel: "OB: OP versus OA" Next in thread: DoctorJoe@aol.com: "Re: OB: OP versus OA"

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