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Re: Breech Trail From: Dr Eberhard Lisse (el@lisse.NA) Tue Jan 24 14:27:26 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Bernard Cristalli: "Re: Breech Trail-Bernard's fate" Previous message: art fougner, md: "Re: Breech Trail-Bernard's fate" In reply to: Bernard Cristalli: "Re: Breech Trail" Next in thread: Bernard Cristalli: "Re: Breech Trail" Reply: Bernard Cristalli: "Re: Breech Trail" Bernard, I really am starting to doubt you, or rather whether you have a clue. I have done enough breeches to know that *EVERYTHING* is possible. Never mind deflexed head, maternal non-cooperation, nuchal arms, cord prolapse or tissue issues (entrapped head from incomplete cervix). I won't even go into pelvimetry even if the RCOG mentiones it at http://www.rcog.org.uk/index.asp?PageID=513 >Although it is possible that careful exclusion of growth restricted >infants, better intrapartum monitoring, full pelvimetry and umbilical >cord assessment might have improved the prospects for a vaginal breech >delivery, the results of the trial lead to an inescapable >recommendation that 'the best method of delivering a term frank or >complete breech singleton is by planned LSCS'. This is A grade evidence Level Ib. >This finding should be disseminated to pregnant women, their families, >and all clinicians involved in maternity care. Which I heereby do :-)-O el on 1/24/06 8:00 PM Bernard Cristalli said the following: > If the head is small and the pelvis wide it is not possible. > > Efrain Ramirez a écrit : > >>Bernard - you did not answer my question - >> >>>At Tue, 24 Jan 2006, Bernard Cristalli wrote: >>> >>>The head must be rather small (ultrasonography) and the pelvis must be >>>rather wide (X-ray pelvimetry). >>>If the the head is obviously (or probably) too big it's a Cs. >>>That's what I meant by "proper selection". Next message: Bernard Cristalli: "Re: Breech Trail-Bernard's fate" Previous message: art fougner, md: "Re: Breech Trail-Bernard's fate" In reply to: Bernard Cristalli: "Re: Breech Trail" Next in thread: Bernard Cristalli: "Re: Breech Trail" Reply: Bernard Cristalli: "Re: Breech Trail"

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