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Re: Breech birth conference**My day Wednesday From: Braun, R. Daniel (rbraun@iupui.edu) Fri Feb 18 13:41:40 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ainsron: "Re: OB-GYN-L digest 3641" Previous message: Henry Gregor: "Re: Breech birth conference" Yeah, the residents spend so much time on Family Practice and Geriatrics, ............., etc. learning Primary care, R. Daniel Braun, MD "If everyone likes you, you're doing something wrong." Kinky Friedman I believe a self-righteous liberal or conservative with a cause is more dangerous than a Hell's Angel with an attitude. Andy Rooney -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Andrew Folley Sent: Friday, February 18, 2005 2:12 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Breech birth conference**My day Wednesday 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 FREE! Next message: ainsron: "Re: OB-GYN-L digest 3641" Previous message: Henry Gregor: "Re: Breech birth conference"

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