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Re: Difficult twins From: DoctorJoe@aol.com Sat Dec 30 17:42:46 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Larry Glazerman: "Re: Difficult twins" Previous message: Larry Glazerman: "Re: Difficult twins" Next in thread: Larry Glazerman: "Re: Difficult twins" Reply: Larry Glazerman: "Re: Difficult twins" In a message dated 12/30/06 6:26:31 PM, agfolley@hotmail.com writes: > what do you do??? > On call last night.  Induced twins for my partner.  G2P1 38 weeks. > Vertex/vertex di/di.  Patient with epidural.  First baby comes out 6:00 pm > vacuum outlet assist.  no problems.  Next baby vertex at -2 cx 5-6 cm.  Of > course nurse says heart tones are down in 50-60s.  Time 6:05.  US shows > heart rate is low. Mom pushes baby not coming out. AROM second twins bag > clear fluid. Could not apply vacuum due to membranes, placenta from first > baby in way etc.   6:08 pm heart tones still down.  Nurse says can not find > heart rate. Mom looks at dad, dad looks at me, I look to see if my lawyer > has showed up yet.  What do you do????????????????? > C/S immediately or internal podalic version and extraction are the only things that come to mind. Joe P. Next message: Larry Glazerman: "Re: Difficult twins" Previous message: Larry Glazerman: "Re: Difficult twins" Next in thread: Larry Glazerman: "Re: Difficult twins" Reply: Larry Glazerman: "Re: Difficult twins"

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