Re: Twins case part I

From: Griffiths Malcolm (Malcolm.Griffiths@ldh-tr.anglox.nhs.uk)
Tue Apr 30 08:45:05 2002


Is that really correct? In my neck of the woods fully dilated with epidural for three hours is OK, but not pushing! I had assumed in the original posting that she had got to three hours either because of neglect or refusal of intervention by patient.

Malcolm Griffiths Clinical director & consultant - obstetrics & gynaecology Luton & Dunstable Hospital NHS Trust, Luton, LU4 0DZ, UK Tel:+(44) 1582 497533 Fax: +(44) 1582 497376

-----Original Message----- From: garrys@mindspring.com [mailto:garrys@mindspring.com] Sent: 30 April 2002 04:13 To: Multiple recipients of list OB-GYN-L Subject: Re: Twins case part I

At Mon, 29 Apr 2002, Eberhard Lisse wrote: >
>Garry,
>
>why do you let someone push for three hours?
>
>el
>

Why not?

ACOG, FWIW, says 3 hours in a primigravida with an epidural is OK. I believe you could go longer if mom and babe are well, with diminishing return.

Garry

--
Garry E. Siegel, M.D., F.A.C.O.G.
Roswell, GA
Private Practice

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