Re: What do you think?
From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Tue May 31 21:23:38 2005
Glad you brought that up.
Garry
At Tue, 31 May 2005, Richard Chudacoff, MD wrote:
>
>How would you rotate with a vacuum? I thought that vacuum rotation was
>specifically forbidden, as it can avulse the caput.
>
>--
>Richard Chudacoff, MD
>
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>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Andrew
>Folley
>Sent: Tuesday, May 31, 2005 8:59 AM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: What do you think?
>
>Babies do not fit very well in OP presentation due to differences in head
>diameter with OA.
>If she were a primip I would go with a c-section. hwoever in multimp with
>3rd baby I would try to rotate to OA with epidural and vacuum. Placing the
>vacuum on the head and disengaging infant from pelvis and rotating to OA has
>
>worked well in my hands past 20 years. andrew
>
>>From: clairec1979@hotmail.com (claire)
>>Reply-To: ob-gyn-l@obgyn.net
>>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>>Subject: What do you think?
>>Date: Tue, 31 May 2005 00:12:30 -0500
>>
>>First off, apologies if this seems like a stupid question but in my
>>defense I've only recently started my training.
>>Multip - 40+4 (two previous SVDs but both babies on the 5th percentile
>>and this babe is estimated to be on 50th) first examined at midday,
>>membranes intact 9cm. Two hours later and a few pushs no descent of
>>baby so VE repeated - fully with slight anterior lip - fetus OP, approx
>>0 stations. Mum uses entenox to resist pushing on lip. 5pm fully
>>dilated, baby still same position as before, membranes intact, mum has
>>no urge to push.
>>What would you do? Where do you see this ending up in your experience?
>>(and why)
>>Thanks, just trying to get my heads und things, if I've missed anything
>>out then just ask
>>Claire
>>
>
--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA
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