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Re: Incision typeFrom: Lynn Montgomery, MD (apgar10@qwest.net)Thu Jul 13 10:46:41 2006
Transverse for the skin. With regard to a preemie breech, nobody would ever fault you for doing a classical. I have always used my hand placed over the lower segment as a gauge to determine if it is "developed" enough to give me enough lateral room to make an LCT incision. If the lower segment is not "developed", it is better to chose a classical. Entrapment of the after coming head, transection of the fetal spinal cord in a preemie and "T'ing" an LCT incision are the risks of using a LCT uterine incision without adequate room. Lynn _____ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Elrod, Darryl G Maj 48 MDOS/SGOBO Sent: Thursday, July 13, 2006 3:42 AM To: Multiple recipients of list OB-GYN-L Subject: Incision type As you know this hospital rarely does early deliveries. We had a set of 27 wk twins in labor this morning. The first was footling breech, the second transverse. We did the section and all went fairly well but we second guessed our incision choices. What incision would you use for skin and for uterus? Thanks, Glen //SIGNED// D. Glen Elrod, Maj., USAF, MC Obstetrician/Gynecologist Chief of Obstetrics 48 MDOS/SGOBO RAF Lakenheath, England Telephone DSN: 314-226-8130 Comm: +44 (0) 1638 52 8130 Notice of Confidentiality Under the Privacy Act of 1974, you must safeguard all information reflected on this e-mail and, if applicable, all attachments. Disclosure of information is IAW AFI 33-119, AFI 33-127, AFI 37-131, AFI 37-132, AFI 33-219, and PL 93-579" This e-mail message including any attachments is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Any questions pertaining to disclosure should be directed to the privacy officer.
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