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Re: OB: OP versus OAFrom: Steve & Eryl Raymond (eryl@intekom.co.za)Sun Dec 31 11:40:09 2000
I guess the question really should be what to do if the OP won't deliver - either won't rotate and deliver spontaneously, or there is a worrying CTG requiring speeding up of the 2nd stage. In these situations you have either to assist the vaginal delivery or do a Caesar. To me an assisted delivery (forceps or vacuum) is the obvious first choice. Provided of course that there is adequate descent and the procedure seems likely to be successful. The no.1 criterion is that there should be no head palpable above the brim. Trying to use station as an indication of descent is complicated by the fact that moulding to a low station in the absence of descent can occur in a prolonged labour. You can have the presenting part on the perineum with the widest diameter still not through the brim. Steve DoctorJoe@aol.com wrote:
>
-- 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
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