Re: 3rd World OB was Full dilatation

From: Steve & Eryl Raymond (eryl@intekom.co.za)
Wed Dec 3 12:19:11 2003

<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN"> The option of craniotomy was discussed briefly, but as there had been gas on needling the abdomen it was felt she needed to be opened anyway.  Craniotomies are not without their own trauma to the mother's tissues and one couldn't be sure whether dragging out fetal bones might not have injured already friable soft tissues in bladder base and pouch of Douglas.
Steve

RModugno@aol.com wrote:
In a message dated 12/2/2003 3:13:12 PM Eastern Standard Time, eryl@intekom.co.za writes:

  
How's this for the other side of the coin?  Patient admitted in labour
to a rural hospital near here - 20 year old primigravida at term.

Today, three days later, she is losing urine pv and the urine in the
catheter is still very red.  She has only occasional bowel sounds.  The
temperature is 37.7, and she is still producing large amounts of fluid
through her nasogastric tube.  How much necrosis of the tissues at the
pelvic brim there will be, only time will tell.  The catheter is
destined to remain in for about 6 weeks I expect, and I only hope we
don't have to re-open her for a colostomy because of
sigmoid necrosis.
Steve Raymond
    

Steve would a destructive operation( craniotomy) on the fetus have been an option?

Robert Modugno MD MBA FACOG
Marietta, GA
www.novaobgyn.yourmd.com

  

--
S.H. Raymond FRCOG



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