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Re: Breech birth conference**My day Wednesday From: Andrew Folley (agfolley@hotmail.com) Fri Feb 18 12:11:11 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: OB-GYN-L digest 3641" Previous message: Stmidwife@aol.com: "Re: OB-GYN-L digest 3641" In reply to: Garry E. Siegel, M.D.: "Re: Breech birth conference**My day Wednesday" Next in thread: art fougner, md: "Re: Breech birth conference**My day Wednesday" Reply: art fougner, md: "Re: Breech birth conference**My day Wednesday" Reply: Henry Gregor: "Re: Breech birth conference" The C-Section rate in the US is approaching 30%. I believe 2003 CDC studies show 27%. We are on the verge of offering women elctive primary C-sections. Many of us particularly those over age 45 are still skilled in the art of Obstetrics. I suspect Garry that you did not graduate from a program in the past 15 years?? The trend seems to be away from skilled deliveries. Would you not agree? Andrew >From: garrys@mindspring.com (Garry E. Siegel, M.D.) >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >Subject: Re: Breech birth conference**My day Wednesday >Date: Thu, 17 Feb 2005 21:04:45 -0600 > >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: art fougner, md: "Re: OB-GYN-L digest 3641" Previous message: Stmidwife@aol.com: "Re: OB-GYN-L digest 3641" In reply to: Garry E. Siegel, M.D.: "Re: Breech birth conference**My day Wednesday" Next in thread: art fougner, md: "Re: Breech birth conference**My day Wednesday" Reply: art fougner, md: "Re: Breech birth conference**My day Wednesday" Reply: Henry Gregor: "Re: Breech birth conference"

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