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Re: OB: Gestational Diabetes Labor management From: art fougner, md (evsono@pipeline.com) Tue Apr 17 08:04:01 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: Defining Immediately Available" Previous message: art fougner, md: "Re: Frustrating Case" In reply to: DoctorJoe@aol.com: "Re: OB: Gestational Diabetes Labor management" Next in thread: RModugno@aol.com: "Re: OB: Gestational Diabetes Labor management" garry - by leopold's how much of the head remains above the pubic bone? this case seems a set-up. mama, don't let your babies grow up to be cowboys! art At Mon, 16 Apr 2001, DoctorJoe@aol.com wrote: > >In a message dated 4/16/01 20:38:57, garrys@mindspring.com writes: > ><< In labor her admission random glucose was 95, the clinical EFW 4100g, >and she was 4 cm. at 2230 hours, AROM at 2300 hours at 7 cm. The nurse >called her "Rim" and ready to deliver at 0100 hours, and when I >staggered out of the call bed, she was 8, maybe 9. My suspcion of a big >baby and my concern about poor progress heightened considerably. BTW, >she is grunting as if to push, no epidural, and 80% effaced, +1 station >at best, normal fetal heart tones with contractions about every two >minutes. > >What's next? >> > >If she really WAS a "rim" and then thickened up to an 8 or 9, then maybe >she's getting cervical edema from a LARGE baby pushing down on the whole >pelvis, and it ain't coming out...! Sounds ominous to me... I would obviously >NOT apply any instruments at this point. You COULD wait and see what happens >over the next hour or so, since she's not having distress. Good time to put >an epidural catheter in... Just to be ready. > >Joe P. -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: art fougner, md: "Re: Defining Immediately Available" Previous message: art fougner, md: "Re: Frustrating Case" In reply to: DoctorJoe@aol.com: "Re: OB: Gestational Diabetes Labor management" Next in thread: RModugno@aol.com: "Re: OB: Gestational Diabetes Labor management"

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