Re: Twins case part I

From: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)
Mon Apr 29 05:12:19 2002


At Mon, 29 Apr 2002, Eberhard Lisse wrote: >
>Joe,
>
>In message <6.281bf115.29fdb7ad@aol.com>, DoctorJoe@aol.com writes:
>>
>> In a message dated 4/28/02 13:05:46, el@ac.lisse.na writes:
>>
>> << have you ever worked in a situation, in solo practice, where the
>> nearest cesarean section is more than 30 minutes away, by plane?>>
>>
>> No. But the implication was, the hamlet hospital DID do OB usually,
>> right?
>
>No, the implication was the solo practioner at a Level 0 facility
>should not have to deliver these.
>
>> <<What would, by the way, be the indication for induction here? >>
>>
>> Logistics and safety concerns. It is reasonable to electively induce
>> for reasons of living far away, availability of ancillary services,
>> etc.
>
>Actually I disagree. He has admitted her for 2.5 weeks, she is
>apparently happy with that, so why not wait until she goes into labor?
>Twin pregnancies usually go into labor before the time. If at all
>:-)-O
>
>Though I am not, at all, against a vgainal bypass in multiple
>gestation.
>
>el

--
 Whats post term for twins? I was surprised by what was quoted in some
references. What about the fact twin B is 20% smaller than twin A, I am
not to concerned about it but I known some obs would be.
                                Take care, John




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