Re: OB: CT pelvimetry
From: art fougner, md (evsono@pipeline.com)
Sun Apr 10 17:06:58 2005
Garry
not hard ... place the transducer so that the pubic bone shadow becomes
a landmark in long axis. then using a variant of the British style
"fifths method", estimate how much of the head is above that pubic
shadow. gives a far better estimate of true station than the ischial
spines.
of course just my opinion ... i could be wrong.
art
At Sun, 10 Apr 2005, Garry E. Siegel, M.D. wrote:
>
>Art:
>
>I'm also old and sono ignorant, to my dismay.
>
>Will you email privately, or put on the list if you think appropriate,
>as to how one does bedside sonography in the situation you've described.
>
>Thanks,
>
>Garry
>
>At Sun, 10 Apr 2005, art fougner, md wrote:
>>
>>Real Time at the bedside. You're not dumb Garry - i'm old lol.
>>
>>art
>>
>>At Sat, 9 Apr 2005, Garry E. Siegel, M.D. wrote:
>>>
>>>At the risk of being very dumb, what is RT sono?
>>>
>>>Garry
>>>
>>>At Sat, 9 Apr 2005, art fougner, md wrote:
>>>>
>>>>Garry
>>>>
>>>>what you might wish to try is to use RT Sono to gauge how much head is
>>>>above the pubic bone rather than worry about the ischial spines.
>>>>
>>>>art
>>>>
>>>>At Sat, 9 Apr 2005, Garry E. Siegel, M.D. wrote:
>>>>>
>>>>>I remember reading a bit about CT pelvimetry combined with ultrasound
>>>>>near term to try to predict vagnial delivery success, especially in
>>>>>VBACs or suspected CPD.
>>>>>
>>>>>I've also seen a report or blurb about using ultrasound in labor to see
>>>>>where the head/caput is relative to the ischial spines, I think, to
>>>>>predict if a delivery can occur vaginaly.
>>>>>
>>>>>Anyone actually use this/hear of these in clinical practice?
>>>>>
>>>>>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
>>>>
>>>--
>>>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
>>
>--
>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
