Re: Twins case part I

From: Eberhard Lisse (el@ac.lisse.na)
Sun Apr 28 13:04:03 2002


Joe,

have you ever worked in a situation, in solo practice, where the nearest cesarean section is more than 30 minutes away, by plane?

What would, by the way, be the indication for induction here?

el

In message <1a8.17bd91f.29fd704f@aol.com>, DoctorJoe@aol.com writes: >
> 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.
>





use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L 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 04:51:24 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.