Re: Vertex to Breech in labor
From: Larry Glazerman (l.glazerman@rcn.com)
Mon Jun 5 18:38:04 2006
I had a simlar situation as a med student. Breech suspected,
confirmed on x-ray pelvimetry, proceeded to CS, baby vertex!
On Jun 4, 2006, at 9:06 AM, R. Daniel Braun wrote:
> 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 <DMECNM@aol.com> wrote:
> In a message dated 6/3/2006 6:58:32 P.M. Pacific Standard Time,
> 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
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