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Re: A new poll!From: Braun, R. Daniel (rbraun@iupui.edu)Tue Mar 20 17:10:48 2001
F. and if that didn't work, B. If that didn't work, C, followed by E. Then seriously consider looking for a new partner. Dan -----Original Message----- From: Caitlincusack@yahoo.com To: Multiple recipients of list OB-GYN-L Sent: 3/20/2001 3:53 PM Subject: A new poll! 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
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