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Re: Breech birth conference**My day WednesdayFrom: Garry E. Siegel, M.D. (garrys@mindspring.com)Thu Feb 17 20:04:20 2005
At Thu, 17 Feb 2005, Andrew Folley wrote: > >Unfortuantaely breech delivery has become a lost art in the US along with >forceps and vaginal birth of twins. Good luck with your conference Jane. > FWIW: Busy delivery day Wednesay; the office was trashed. 7 AM--took over for partner who had a 7:30 case. Primigravida being ripened/induced for PIH at term. Fully dilated since 0200, pushing for 2.5 hours. ILF/Rotation OP +2 to OA with Kiellands at 8 AM SVD at 10 AM SVD at 3 PM ER patient rolls in by Ambulance, from another group/hospital. Known term breech, P2002, for C/S next week. Arrives at 1714 in L and D, 8 cm/complete breech by my exam at 1715; preparations made for emergency C/S. At 1720 has the urge to push, to OR/DR at 1725. Assited Breech Extraction--7.5 pound baby, very easy. 35+ weeker with prior myomectomy and 4 sections calls at 2000 with severe LLQ pain "in the area they said my uterus was thin." Arrives 2030, contracting, not dilated, baby OK. Repeat Classical C/S. So, Andrew, in this particular day: Forcep Rotation Vaginal Breech Delivery 5th section--Classical as her bladder didn't really move and she had an undeveloped lower uterine segment I suppose there are still a few things an Obstetrician is good for. Garry
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
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