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Re: Breech birth conference**My day Wednesday From: Harrison Sheld (hsheld@anv.net) Thu Feb 17 20:30:59 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Braun, R. Daniel: "Re: OB: NEJM Article On Analgesia" Previous message: Garry E. Siegel, M.D.: "Re: Breech birth conference**My day Wednesday" In reply to: Garry E. Siegel, M.D.: "Re: Breech birth conference**My day Wednesday" Next in thread: Andrew Folley: "Re: Breech birth conference**My day Wednesday" Content-Type: text/plain; charset=us-ascii; format=flowed Content-Transfer-Encoding: 7bit A refreshing comment on contemporary OB practice. Nice going Garry. Garry E. Siegel, M.D. wrote: >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 > Next message: Braun, R. Daniel: "Re: OB: NEJM Article On Analgesia" Previous message: Garry E. Siegel, M.D.: "Re: Breech birth conference**My day Wednesday" In reply to: Garry E. Siegel, M.D.: "Re: Breech birth conference**My day Wednesday" Next in thread: Andrew Folley: "Re: Breech birth conference**My day Wednesday"

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