OB-GYN-L Messages for March, 2006: Surprise breech was Re: ventouse

I had a surprise breech a couple years ago. Head was high, I didn't want to poke too much and accidntly arom with the head high, baby felt like vertex by Leopolds, and heart tones were in LLQ, at least below the umbilicus. I had her sit on the toilet to bring the head down, and she sromed there. So I hustled her back into bed to check for a prolapsed cord, and there was the presenting part almost visible. So grabbed my gloves and told her she could push if she wanted. Then I saw the baby's "head" and my first thought ~which immediately came out of my mouth~ was that I had never seen a hispanic baby that was so bald. Then we got that big glob of breech meconium and I knew! Oh crumb, what to do! I just let Ina Mays "breeches and twins" video play in my head and did exactly what I was "seeing," and VOILA! But it did remind me that I should see what I am seeing rather than trying make what I am seeing fit what I am expecting to see.

Fran Wilson CNM
Kennewick, WA

From: johnprov@sympatico.ca (Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.)
Reply-To: ob-gyn-l@obgyn.net
To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
Subject: Re: ventouse
Date: Sat, 4 Mar 2006 07:39:05 -0600
At Sat, 4 Mar 2006, GA12L@aol.com wrote

>
>We had a accidental vaginal breech birth here not so long ago. I say
>accidental because her first baby was born by section! But she was fully and
>pushing so no point doing anything else except watch as this baby came out bum
>first.
>
>Gail

When I was resident a senoir consultant told me the best way to do a
breach delievery was with a Big Cigar and a stool. You put the big
cigar in your mouth and your fat,skinny or normal size ass on the stool
and do nothing(that includes doing an episotomy) untill the breach is
just about falling in your lap. He said he came up with that when he
was a chief resident, when he was a chief resisdent there was no
Continous fetal monitoring and malpractise fee's were $50.00 Canadian a
year,if you had the money you could buy life time malpractise coverage
for $500, the fee for a delievery was $50.

--
Take care, John

use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
	Returns per screen: Require all keywords: