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Re: OB-GYN-L digest 3641From: ainsron (ainsron@sbcglobal.net)Fri Feb 18 14:05:46 2005
I've also been practice for 20+ years, I was well-trained in vaginal breech deliveries and always felt the thrill of a successful vaginal breech delivery. I never had a head hang-up or Nuchal arm that I couldn't release. However, the only vaginal breech I would consider delivering at this point is one that comes in on the perineum or the second twin. Like Gary, I also was trained with forceps, Kielland rotations, etc. I admire his continuation of that tradition. However, if I can't deliver an OP by manual rotation or spontaneous delivery, at this point I go to the OR. I can imagine that if a candidate for ABOG oral boards had a vaginal breech or Kielland rotation on his list, he would be severely criticized and sent back for a refresher course for another try. Ronald E. Ainsworth -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Stmidwife@aol.com Sent: Friday, February 18, 2005 10:57 AM To: Multiple recipients of list OB-GYN-L Subject: Re: OB-GYN-L digest 3641 None of the doctors that I emailed about regarding routine vaginal breech are in a teaching hospital. Most all have been in practice 20+ years. Maybe it is just that there are no breeches being done routinely in your area? That would be really hard on women trying to avoid C-sect with twins, one of them breech. I can't imagine women having no choice in this matter, at the same time I am not saying that all women are candidates for vaginal breech. Sue In a message dated 2/18/2005 10:20:35 AM Pacific Standard Time, ob-gyn-l@obgyn.net writes: What one does during training or in university hospitals often has very little in common with what one does in private practice. It would be interesting to track the docs trained at Parkland or any other institution that does breech births, VBACs or other high risk procedures and see how long they continue performing those procedures in a private practice in = a community hospital. I'm sure you would see a curve starting near 100% = and quickly approaching zero over time. Ronald E. Ainsworth
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