Re: OB: What would you do

From: DoctorJoe@aol.com
Mon Aug 28 10:00:53 2006


In a message dated 8/27/2006 9:16:20 P.M. Central Standard Time, garrys@mindspring.com writes:

33 YO P0 at 32w4d presents in PTL at 7 cm/Bulging BOW.

On my exam, AROM--9 cm., vertex--just got epidural.

Called to delivery from sleep--+3 station, and after a couple of minutes and very good pushes, she's +4, and, by the way, frank breech.

Her epidural is such that between pushes the presenting part recedes inside the introitus. I do think that there is time to do a section, if desired.

Your thoughts. . .

Can she push it out en caul? That'd be perhaps the most atraumatic delivery.

Joe P.





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