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Re: A new poll! From: Efrain Ramirez (eramirez@icepr.com) Tue Mar 20 16:20:54 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: Interesting cesarean section" Previous message: Joe Cutchin: "Re: A new poll!" In reply to: Caitlin Cusack MD: "A new poll!" Next in thread: Braun, R. Daniel: "Re: A new poll!" How much insulin - how is her control? With the info I have - turn off the Pit - BPP twice/week at 39-40 weeks either preinduction ripening with Prostin Gel if all goes *smooth* - VBAC -- at the slightest deviation from normal - C/S - or elective C/S from the start-- but until now - why the rush? At Tue, 20 Mar 2001, Caitlin Cusack MD wrote: > >The list has been a sorry disappointment today-I keep logging on and >there's nothing to read! > >so-in order to try and generate some discussion-I'd like to know what >people would honestly do if put in the following situation: > >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 > -- "Life is neither the notes nor the silence between the notes, but the music that arises out of sound and silence felt as a living whole. Stop choosing...between chaos and order, and live at the boundary between them, where rest and action move together..." David Whyte Next message: Efrain Ramirez: "Re: Interesting cesarean section" Previous message: Joe Cutchin: "Re: A new poll!" In reply to: Caitlin Cusack MD: "A new poll!" Next in thread: Braun, R. Daniel: "Re: A new poll!"

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