Re: female urologist/elective section
From: art fougner, md (evsono@pipeline.com)
Wed May 21 14:19:20 2003
John
just a devil's advocate here, but the possibility of a rare complication
like necrotizing fasciitis shouldn't be the deal breaker between section
and trial of labor, should it?
art
At Wed, 21 May 2003, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.
wrote:
>
>At Wed, 21 May 2003, Braun, R. Daniel wrote:
>>
>>Were any of those scheduled sections? Or were they after 20 hours in
>>labor and 12 hours of ROM???
>>
>>Dan
>>
>>-----Original Message-----
>>From: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.[mailto:johnprov@sympatico.ca]
>>Sent: Wednesday, May 21, 2003 10:32 AM
>>To: Multiple recipients of list OB-GYN-L
>>Subject: Re: female urologist/elective section
>>
>>At Sun, 18 May 2003, RModugno@aol.com wrote:
>>>
>>>Interesting article on Jennifer Berman MD and why she chose to have an
>>>elective section: <A
>>
>>HREF="http://www.newshe.com/articles/csection.shtml">NewShe - Network
>>for the Excellence of Women's Sexual
>>>Health</A>
>>>
>>>Robert Modugno MD MBA FACOG
>>>Marietta, GA
>>>http://www.novaobgyn.yourmd.com
>>
>>Does she get to choose whether she gets a post up pulmonary embolus or
>>nectratizing fascititus. I have had two cases of both these
>>complications
>>in the last 400 c-sections I have done. If I could only predict which
>>mothers
>>would have these complications it would make my life so much easier!
>>
>>--
>> Take care, John
>>
>20 hrs labor 12 hrs prom, sounds like normal primip labor. One of the
>P.E. post
>c-section I had was a repeat in a 300lbs mom , she was short of breath
>the next
>day, V/Q high probabibilty stareted on I.V. Heparin, big hemotoma in
>the wound
>the next day that got infected and I drained. Yes she was at risk for
>this even
>if she did not get a section, it was repeat number 4 , first c-section
>was
>for CPD of 5lbs 7oz baby at 2cm. If I could only choose who could be my
>patients it make my life so much easier. If the premise is that
>complications happen after vag delieveries I agree, I have taken care of
>mom's after vag delievies that took longer to recovery then most
>c-sections. I think all you
>can do is go by risk factors and hope you have good indications for what
>you
>do. I would have done a c-section for the urologists also but I would
>have
>also told her of the ugly scar the 17 y.o. twiggy got after I got
>finished debriding her nec. fascititus, who got an elective c-section
>by some one else for a large 7lbs baby.
>
>--
> Take care, John
>
--
art fougner, md
ich bin ein New Yorker
