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Re: Twins case part IFrom: DoctorJoe@aol.comSun Apr 28 10:34:20 2002
In a message dated 4/28/02 07:38:03, johnprov@sympatico.ca writes: << So should I book an elective c-section at 38 wks, book an elective induction on quiet day where I plan to have anaesthist and pediatrician present, or should I throw all caution to the wind and just hope anaesthist and peds are readily available when Mom goes into labour ? >> Well, if the hospital out in the hamlet can HANDLE any OB at all, they should be able to care for babies at, say, 37 or 38 weeks, shouldn't they? So why are you planning to be the delivering doc, if they go nearer to term? Simply because they are twins? No OB over there? I guess I'd have no problem with elective induction, if there's no prior scar and no other contraindication. I would expect that with AROM and VERY little oxytocin she'd do fine.... On a quiet day when everyone is prepared. HOWEVER, I would also have no problem with elective c-section, since the randomized study, yada, yada, yada. Joe P.
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