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Re: Labor definition From: Anna Meenan, MD (annam@uic.edu) Fri Jul 18 17:55:13 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Betsy Hyde: "Hemoglobinelectrophoresis" Previous message: Terrence.Jones@kp.org: "Re: OB:  Bladder Flap flap" In reply to: Glen Elrod MD: "Labor definition" Next in thread: Betsy Hyde: "Re: Labor definition" Reply: Betsy Hyde: "Re: Labor definition" Oh, Betsy, could you tell your story again? You know the one I mean. -- Anna Meenan, MD, FAAFP At Fri, 18 Jul 2003, Glen Elrod MD wrote: > >I know this sounds like a silly title, but its been something my group >is battling right now. Do any of you have or know of a recommendation >to admit someone for deliver, even without regular contractions, if they >are X cm dilated? > >We have had 2 patients in the last 2 weeks that one of my partners sent >home at 5cm. One was a VBAC that was contracting irregularly, the other >was a G5 with really spaced out contractions and the rationale was that >the head was "too high" > >I always thought that labor was at 4cm. At 5cm your almost assured of a >Bishop score of at least 5, so a <10% risk of a failed induction even if >they weren't contracting. > >The reason this all came up is the VBAC came back complete and +1 with >repetative lates. We were stuck for delivery options. No IV, no >epidural, no labs and couldn't lay on her back for fht reasons, and >couldn't push effectively. > >The other did much the same thing, came back 8-9cm and out of control >without time to get any anesthesia. > >My only other concern is the risk of cord prolapse with advance dilation >and sending them home. > >Any thoughts? > >Thanks, > >Glen > >-- >D. Glen Elrod, Maj, USAF, MC >Medical Director >Women's Health Clinic >Elmendorf AFB, AK 99506 > Next message: Betsy Hyde: "Hemoglobinelectrophoresis" Previous message: Terrence.Jones@kp.org: "Re: OB:  Bladder Flap flap" In reply to: Glen Elrod MD: "Labor definition" Next in thread: Betsy Hyde: "Re: Labor definition" Reply: Betsy Hyde: "Re: Labor definition"

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