Re: Breech birth conference**My day Wednesday
From: art fougner, md (evsono@pipeline.com)
Fri Feb 18 12:22:15 2005
Natural selection in action ...
art
At Fri, 18 Feb 2005, Andrew Folley wrote:
>
>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
>
>--
>_________________________________________________________________
>
>_________________________________________________________________
--
art fougner, md
"If you don't know where you are going, you will wind up somewhere else."
Lawrence Peter Berra
