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Re: OB: What would you do From: Garry E. Siegel, M.D. (garrys@mindspring.com) Mon Aug 28 11:04:52 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Atkinson, Samuel M: "Re: prolonged PP fever" Previous message: DoctorJoe@aol.com: "Re: OB: What would you do" In reply to: Dr Eberhard W Lisse: "Re: OB: What would you do" Next in thread: Andrew Folley: "Re: OB: What would you do" Reply: Andrew Folley: "Re: OB: What would you do" A 32 week primigravida, and the diagnosis of breech was not made until she was pushing. I doubt that the head turned; rather, the diagnosis was not made until later. Hard to believe? Give me a break, please. Garry At Mon, 28 Aug 2006, Dr Eberhard W Lisse wrote: > >I am not sure I am following you, > >A PRIMIGRAVIDA arrives at your facility in labour (7 cm with bulging >membrans, you examine her (presumably a little while later) and at 9 >cm you diagnose VERTEX. Then you go back to sleep (which in itself, at >9cm, I find remarkable) and you are wanting to tell us that the well >enganged head (you ruptured membranes) has turned? I find this all >hard to believe. > >I reckon you can only do a C/S because she doesn't seem to be able to >push properly, even if the buttocks are crowning, but you'll find >it'll be difficult to get hold of the baby and will end up with >massive (extension of the) uterine incision. > >Is this the one who asked at commencement of ANC whether you have >malpractice insurance? :-)-O > >el > >In message <200608280214.k7S2EhN26597@dns.obgyn.net>, Garry E. Siegel, M.D. wri >tes: >> 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. . . >> >> Garry >> >> -- >> Garry E. Siegel, M.D. >> Private Practice >> Roswell, GA >> -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Atkinson, Samuel M: "Re: prolonged PP fever" Previous message: DoctorJoe@aol.com: "Re: OB: What would you do" In reply to: Dr Eberhard W Lisse: "Re: OB: What would you do" Next in thread: Andrew Folley: "Re: OB: What would you do" Reply: Andrew Folley: "Re: OB: What would you do"

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