-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: 41 week Induction From: Peter Wein (pwein@unimelb.edu.au) Sat Dec 3 05:44:31 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr Eberhard Lisse: "Re: 41 week Induction" Previous message: Andrew Folley: "Re: Fist Trimester Migraines" In reply to: Dr Eberhard Lisse: "Re: 41 week Induction" Next in thread: Dr Eberhard Lisse: "Re: 41 week Induction" Reply: Dr Eberhard Lisse: "Re: 41 week Induction" Reply: Efrain Ramirez: "Re: 41 week Induction" I don't agree - the indication for induction always balances the risks of the procedure against the risks of continuing pregnancy. With an unfavourabel cervix in aprimip you are looking at 40% chance of c/s anyway - why not wait? If she is only 41 weeks, I can't see any good indication for subjecting her to the risks fo c/s at this stage. Peter > Either one has an indication for an induction, or not. > > There is nothing in your mail about indication actually, 41 weeks can > mean 40 + 1 in fact. How sure are you, are they, is she about her dates. > How reliable is the sonographer, given that dating would be difficult > in a very obse woman. She might just not be ready... > > Or is the indications that she walked into the hospital? > > Anyway, given that there was/is an indication for induction then after > 24 hours it must be considered a failure and a vaginal bypass operation > must be done. > > greetings, el > > Andrew Folley wrote: >> Midwives are inducing 41 week primip tonight. this is her second or >> third day of induction with cytotec and cervidil at night. Remains >> closed long vertex. I am involved tonight as the 24 hour in house doc. >> To complicate matters the patient weighs a wopping 326 pounds. >> >> If she were my patient in private practice I probably would send her >> home and monitor closely and wait for labor to start and pray tha one of >> my partners would be on call when she comes back in labor. >> >> I am going to check her for the first time in a few hours I am thinking >> laminaria or AROM ASAP and foley catheter ripening. I don't mind doing >> the c-section but I just see the potential for post op problems with >> her. I would like to maximize her chances for a vaginal birth. Please >> give me some ideas. andy > Next message: Dr Eberhard Lisse: "Re: 41 week Induction" Previous message: Andrew Folley: "Re: Fist Trimester Migraines" In reply to: Dr Eberhard Lisse: "Re: 41 week Induction" Next in thread: Dr Eberhard Lisse: "Re: 41 week Induction" Reply: Dr Eberhard Lisse: "Re: 41 week Induction" Reply: Efrain Ramirez: "Re: 41 week Induction"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Jul 2 04:41:55 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.