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Re: A new poll! From: ainsron@msn.com Tue Mar 20 14:21:10 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Paul-André Latulippe: "Re: A new poll!" Previous message: DoctorJoe@aol.com: "Re: A new poll!" In reply to: Caitlin Cusack MD: "A new poll!" Next in thread: Paul-André Latulippe: "Re: A new poll!" With an unfavorable cervix, I would not have opted for induction on this patient. I'm not even sure I would elective section this patient at this point. You need to talk to your partner and make sure you are on the same page. You've obviously had a negative contraction stress test. You could continue antepartum testing twice weekly and deliver at or before her EDC. My tendency at that point would be to section her, I'm not going to offer or suggest induction or cervical ripening to VBACs. If she goes into labor between now and then, you can do her section in labor when she stalls out again. >I came on for call at 7:30 and was left a G2P1 insulin requiring >gestational diabetic at 38 weeks being induced because of the GDM. Good >dates-but only 38 weeks, no tap. Fetal testing has been normal. So no >maternal or fetal indication for early induction. Prior section for >failure of descent 7lbs 2 oz-pushed for 3 hours. Pt feels this baby is >bigger, u/s shows EFW about the same. Unfavorable cervix, pitted all >day the day before, some contractions, no change in her cervix, baby not >well in the pelvis. Off of pit over night, when I came on in the am she >had been back on pit for a couple of hours for day two of her VBAC >induction. > >Here's another poll! Honestly would you: >a) Continue as is >b) Turn off the pit and send her home. >c) Tap her to at least document lung maturity >d) Turn off the pit and try a foley >e) Section her as she is not a great VBAC candidate >f) Have a discussion with your partner.... > >Just hoping to get this list going again for the day-it's been far too >quiet! > >-- >Cait Cusack > -- Ronald E. Ainsworth, MD Next message: Paul-André Latulippe: "Re: A new poll!" Previous message: DoctorJoe@aol.com: "Re: A new poll!" In reply to: Caitlin Cusack MD: "A new poll!" Next in thread: Paul-André Latulippe: "Re: A new poll!"

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