-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: How to deliver From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com) Wed Jan 30 08:29:01 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ainsron@msn.com: "Re: malpractice case (long)" Previous message: ainsron@msn.com: "Pessary" In reply to: Garry Siegel: "OB: How to deliver" Next in thread: art fougner, md: "Re: OB: How to deliver" Well, no one ever got sued for doing a timely c-section. I'd say you will only incur risks by trying to do a vaginal delivery. If it works out, great, but if not, check your policy. -- Richard Chudacoff, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Garry Siegel Sent: Tuesday, January 29, 2002 8:08 PM To: Multiple recipients of list OB-GYN-L Subject: OB: How to deliver OK, here's one to kick around a bit. 25 YO P1001 at 16 weeks, good dates, in for a routine visit. At her first visit, with our CNM (who does office only), she described a difficult vaginal delivery with a shoulder dystocia, of a 9 pound, 2 ounce baby, who went home with her 3 days later, with no sequelae, birth trauma, etc. The patient used the word, "Vaginal C/Section," duly written onto our prenatal by our office RN. The patient was not diabetic in that pregnancy. At the visit, the patient told the CNM that she was told that she should have C/Sections in future pregnancies, and that apparently is how the issue was left. 1 hour glucose screening was done, and was 111 mg/dl (I think that those are the right units). Well, I just saw her and went over the above, and requested records (but likely the progress notes/written delivery note will not have the detail needed). I told her that I would like to review things, once available, and then discuss options. Would you: 1. Say "screw it" and just plan a section at term without labor. 2. Try to press her into a vaginal attempt, carefully conducted, or course. 3. Hope the records come, review them, and then deal with it. That said, the basic choices will still be "1" or "2". 4. Make a tentative plan to visit this near term, after a clinical and/or ultrasonographic assessment of EFW, as well as a cervical examination. 5. Have your partners deal with it :). 6. Other: please expand Garry -- Garry E. Siegel, M.D., F.A.C.O.G. Roswell, GA Private Practice Next message: ainsron@msn.com: "Re: malpractice case (long)" Previous message: ainsron@msn.com: "Pessary" In reply to: Garry Siegel: "OB: How to deliver" Next in thread: art fougner, md: "Re: OB: How to deliver"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 04:50:52 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.