Re: Vertex to Breech in labor
From: Bernard Cristalli (bcrist@club-internet.fr)
Sun Jun 4 13:35:23 2006
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I had that twice, but in great multips.
BC
R. Daniel Braun a écrit :
> Whenb I was a resident, I had a 17 Y/O G1 present 4 cm dilated and
> breech. Sent her for X-Ray pelvimetry(as was the standard in those
> days) and the fetus was a vertex. She returned to L&D and continued to
> labor. 3 hours later I delivered her as an assisted breech extraction.
> I thus have proof that she turned once and I know that it was really
> twice during labor. BTW, we checked and there was only 1 pelvimetry
> done that day so we didn't get films mixed up.
>
> Dan
>
> On 6/3/06, *DMECNM@aol.com <mailto:DMECNM@aol.com>* <DMECNM@aol.com
> <mailto:DMECNM@aol.com>> wrote:
>
> In a message dated 6/3/2006 6:58:32 P.M. Pacific Standard Time,
> ajfields@pine-net.com <mailto:ajfields@pine-net.com> writes:
>
> Just to play devil's advocate-have any of you had a baby turn
> in labor?
>
> Yes. With ruptured membranes. G2P1
>
> SROM hours earlier and on pit. Scalp electrode placed at 4cms due
> to an inability to keep FHR tracing. Loss of contact due to lots
> of maternal position changes. No epidural.
>
> Checked her again a couple of hours later. Found her to be 8cms.
> Felt horrible to find out she was breech and that I had missed it.
>
> MD on call, not our usual MD, did not do vaginal breech
> deliveries. Called me a couple of choice adjectives in front of
> the family. I already felt like a total idiot. His assistance in
> this was not needed.
>
> In the OR I was unable to take the electrode off the baby's
> scalp. Nothing would work. Never noticed that it was a little
> "shorter". MD again not pleased with the CNM. Another list of
> adjectives. I just cut the electrode off at the introitus.
>
> Baby was born. Electrode on the head. MD did not say anything.
> NICU team kept mentioning that the electrode was still on the
> head. FOB was laughing that it was still on the head. RN joked
> about it. MD got upset and said, "OK, now everyone can just be
> quiet about it." Anesthesiologist just winked at me.
>
> Denise, CNM
> So Cal
>
> --
> R. Daniel Braun
>
> "The way to health is an aromatic bath and scented massage
> everyday".
> Hippocrates
